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Summer Camps: Client Informational Form

Contact Name:*
Contact Email Address:*
Contact Phone Number:*
Business Name:*
Business Phone Number:*
Business Website:*
(Please note: the "www." will be removed for publishing)
Business Address:*
50 words of descriptive copy:*
Note: This will be edited to meet Philly mag style guidelines.
Please upload a high res photo for your advertisement:*
Note: Image may be cropped to best fit the space.
Accepted file types: jpg, jpeg, psd, eps, gif, pdf, gif, Max. file size: 50 MB.
I acknowledge that my advertisement includes 3 round of edits and any additional revisions will incur a fee per revision.*
- I have read and agree to these terms above.