To register for a period of one year please send a check for $100 made out to the "Incorporated Village of East Hills" and deliver to Village Hall. If a logo is included there is an additonal fee of $10.00. Please complete the following information form, and send a logo to wgavin@villageofeasthills.org if included.

Advertising Application:
Name:
Company Name:
Address:
Phone Number:	(XXX) XXX-XXXX
Fax:	(XXX) XXX-XXXX
Cell Phone:	(XXX) XXX-XXXX
Email Address:
Background and company information (100 words or less). All advertisers must be fully licensed as required in any municipality or by any agency.