1. **Name of applicant:

2. Email address in case of further enquiries or communication:

**Email 1: e.g.. suzy@...com (NB: Please verify your email address before sending this form, otherwise we will not be able to contact you. Thank you in advance.)

Email 2: (Not required, but preferred)

3. If you want us to notify a friend about the ADSA FREE Ad service, please supply the email and name below:

Friend's Name:

Friend's Email:

NB: Applications for vehicles and property (real estate) MUST provide at least one photo.

1. Title of ad:
(Not more than 3 words)

2. **Text to appear in advertisement: [No more than 250 characters (±40 words), no less than 20 words, excluding contact info.]

3. Contact information to be shown in ad:

Website address: (if applicable)

Tel. no 1: (if required)

Tel. no 2: (if required)

Fax no: (if required)


Email addresses are not shown in advertisements. Read more.

4. Please select the category that fits you best:
Private Welfare or Aid organization Church institution School Small to medium size business

5. Please select the advertising classification you prefer:
Entertainment Events Help Jobs Media Products Schools Services

6. Language Preference (for future correspondence):
English Afrikaans