ARI CLASSIFIEDS

AD INFORMATION FORM

NAME:______________________________________________________________________________

ADDRESS:___________________________________________________________________________

                  ____________________________________________________________________________

TELEPHONE NUMBER:_________________________________________________________________

YOUR E-MAIL ADDRESS:_______________________________________________________________

Type of Ad you wish to place: (place checkmark or "X" next to category)

[  ] Auto Parts for Sale [  ] Parts Wanted
[  ] Car or Truck for Sale [  ] Car or Truck Wanted
[  ] Machinery for Sale [  ] Miscellaneous for Sale

Description to be placed on ARI WEB CLASSIFIEDS: _______________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

WHAT CONTACT INFORMATION WOULD YOU LIKE PLACED IN YOUR AD (Name, Phone #,
E-mail Address, etc.):________________________________________________________________________
________________________________________________________________________________________

Payment Included (Make Checks Payable to ARI RACING ENGINES):

Type of Ad Cost Number of Ads Total
Car or Truck $10.00 each    
Auto Parts or Miscellaneous $5.00 each (up to 25 words; $0.25 each additional word)    
Machinery $20.00 each    

                                                                                                                                  TOTAL:   ______________________