You can phone in your Wild Side ad -- just call 1.800.986.1444 and follow the recorded instructions. Or use this form. A representative will mail your box information and password to your street address, so please make sure this is correct.

NOTE You must fill out ALL fields to submit this form.

1. Choose a section. Women Seeking ... Men Seeking ... Couples Seeking ... Anything Goes ...

2. Give us a headline, no more than 21 characters.

3. Put your ad text here. Only the first 30 words will be in your ad. Useful Abbreviations S=Single; D=Divorced; W=Widowed; W=White; H=Hispanic; B=Black; A=Asian; F=Female; M=Male; P=Professional; G=Gay; Bi=Bisexual; C=Couple; M=Married; N/S=Smoking; N/D=Non-Drinking; D/D free=Drinking/drug free; ISO=In search of; LTR=Long term relationship; TV=Transvestite; TS=Transsexual

4. Fill out the following contact information. We must have all of this information to process your ad. First Name: Last Name: Address: Address: City: State: Zip: Phone: Email:

Please remember to include your area code in your ad. If we cannot contact you, we cannot run your ad. The deadline for ads to run is Thursday at 3 PM. Ads received after Thursday 3 PM will run in the next issue of the paper. City Paper is not responsible for late, misdirected or bounced email. To submit your ad, click SEND. To clear the form and start over, click RESET.