Lakes and Hills Vacations

Listing Request Form

If you are interested in a complimentary listing on, please complete the following information:

Listing Information:
Business Name:  *
Business Address:  *
City:  *
State:  *
Zip:  *
Telephone:  *
Website URL:
Region / Category Preference * (we reserve the right to modify region and/or category settings):
Desired Region:
Desired Category(s):
(select at least one)
 Lodging :: B&B's/Guest Houses
 Lodging :: Cabins/Guest Ranches
 Lodging :: Hotels/Motels
 Lodging :: Resorts/Retreats
 Lodging :: Vacation Rentals
 Lodging :: Camping/RV Sites
 Lodging :: Waterfront
 Real Estate
 Golf Courses
Contact Information:
Your Name:  *
E-Mail:  *
Mailing Address:
(If different than above)
Alternate Phone:
Best time to contact you:
Areas of Interest (Please check all that apply):
Please contact me about a Featured Listing
Please contact me about Graphical Advertising
Please contact me about advertising in the Lakes and Hills Printed Publication
Interested in the other Marketing Coalition Benefits

Yes. . . please have someone contact me regarding my areas of interest, or if there are problems with my request.

Enter verification number on the right:   

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