Got Scotties?

Scottie Ad Submission Form

Please print this form and send it with your Scottie Ad to:

Campbell's Scottish Terriers
6880 Tepper Drive
Clifton, Virginia  20124

Submission Deadline:  February 28, 2005

Your Name:

 

Street Address or P.O. Box:

 

City:

 

State:

 

Zip Code:

 

Country (if not USA):

 

Telephone (important!):

 

Email Address (optional):

 

Product Advertised:

 
Company Advertised:  

Description of Submission:

 
Materials Used to Create Ad:  

 

I understand that by submitting this Scottie Ad, I am giving Campbell's Scottish Terriers exclusive rights to use the image on their websites (www.campbellscotties.com and www.scottiedance.com) and in any advertising or publication they desire. 

Applicant's Signature:  _______________________________

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