Yellow Pages Advertising Form

Please fill in and submit for inclusion of your ad in print and online until July 2009.

Use the "tab" key to move to the next field

Business Name
Street Address
City, State Zip
Parishioner
Phone Number
 XXX-XXX-XXXX

Fax Number

 XXX-XXX-XXXX
E-mail Address
Website Link
Listing Category
Brief description of business Service
   
  By clicking on the "Submit" button I certify that I am a registered member of Our Lady of Mount Carmel Catholic Church and that the above information is an accurate representation of the business service I offer.

Please make check payable to CCM for at least $12.00, place it in an envelope labled OLMC Yellow Pages, and place it in the offertory basket or send it to the parish office at 100 Harpersville Road, Newport News, VA 23601.

Thank you for your donation which helps support Catholic Campus Ministry at Christopher Newport University.