APPLICATION FORM
Announcing a special service for readers of the Chicago Daily!
We offer a service that delivers private, non-commercial messages for you every Tuesday in the Chicago Daily. Messages appear under the following classifications.
Please check the one that applies to your message:
□ Giveaways □ Wanted
□ Personal □ Shared Accommodation
1. Your message is allowed a maximum of 30 words. Be sure to include your telephone number. If there is a possibility that someone other than yourself may answer the phone, include your name with your number. Type or write your responses neatly in order to make your application legible.
■ Full name: __________
■ Full address: __________
■ Telephone numbers
Home: __________
Work: ___________
Mobile phone: __________
2. Mail or fax this form to:
Message Placement Section
Chicago Daily
211 Main Street
Chicago, IL73234
Fax: 415-692-7711
