Information for Animal Services Guide Listing 

Please tell us how you would like your listing displayed in the Guide

Name of Business/Organization:

Describe your business/organization briefly (30 words or less):



Address: ___________________________________________________________________

Phone:  __________________________________________________		

Email address or web site: ________________________________________________

If your business is Daycare Petsitting Grooming or Boarding are you bonded? ___
Are you insured? ______ Please include a Letter of Recommendation.

If you wish to place an advertisement in addition to your listing, please
check the size of ad submitted in the box below:

[ ] Quarter page:   (3.625" X 1.8125")
[ ] Half page:      (3.625" X 3.625")
[ ] Full page:      (3.625" X 7.25")

Send your ad in PDF format to: info@c3seattle.com

If you know of any other business/organization that would be interested in
being listed in our Guide, please let us know how to contact them
(name/address/phone):


Your name and phone number:
Email address:  

Listing Amount ($50)	$ _____________ 
Additional Ad Amount	$ _____ ($200 qtr. page, $300 half page, $500 full page)
Optional Donation	$ _____________
All donations are greatly appreciated.  They help offset the cost of printing.
For donations of $250 and above, your name will be listed on our sponsor page.
Total Amount Enclosed: 	$ _____________

You can submit your payment by PayPal at www.c3seattle.com or by check.
If you are using PayPal, please enter your
transaction id: _________________________ and check this box [ ] 

Thank you for completing and returning this form.  Please make checks payable
to C3 Seattle.  Send the form and check to:

C3 Seattle
902-A NE 65th St.
Seattle WA 98115

NARN USE ONLY
Section:	Volunteer:		Payment Received Date:		Exempt:
Correction: