DO NOT FILL OUT THIS FORM IF YOU PURCHASE A MAP AD. MAP ADS ARE OFFERRED TO BUSINESSES WHO RAN ADS IN THE PRIOR TWO YEARS FIRST, THEN OTB PARTNERS. THEY ARE THEN OPENED TO EVERYONE ELSE IF THEY ARE NOT ALL PURCHASED. PLEASE CONTACT AMANDA FOR MORE INFORMATION IF YOU HAVE ANY QUESTIONS. DIRECTOR@OURTOWNBELFAST.ORG