ItemLook Customer Form

Please fill in all of the required (R) fields on this form so we can assign your ItemLook Number.

Name(R):                     

Street Address/P.O. Box(R):  

City(R):                     

State/Province(R):           

Country(R):                  

Zip/Mail Code(R):            

Email Address(R):            

URL:                         

Phone(area code+number):     

Do you want your telephone number included on your ItemLook Page? If so, make sure it is entered above, and click on the "Yes" button below.

Yes (Recommended)
No

Do you want your e-mail address included on your ItemLook Page so your "visitors" can contact you via e-mail?

Yes (Recommended)
No

Enter a title for your item. For example; "1969 Camaro," "4 Bedroom Rancher," "Antique Corner Cupboard - circa 1700's" etc.

Title of Item(R):    

Will you be sending a photograph of your item by postal mail or e-mailing an electronic image as a .JPG file attachment?

Photograph
Electronic Image

What date would you like your minumum 30 day period to start?

Preferred Start Date:        

Use this space to communicate any text or special instructions on how we can further enhance your classified newspaper advertisement. We will do our best to accommodate you.

Text and/or Instructions: