Banner Ad - Category Page - Yearly Subscription

Please enter information on the form below to process subscription for Banner Ad - Category Page - Yearly.

For assistance, please call (828) 693-1445.

To be billed with an invoice, please send the information below via email to sales@jlhwebdesigns.com

Username*

Password*

Retype Password *

First Name *

Last Name *

Business Name *

Business Address *

City *

State *

Zip *

Phone *

Email *

Upload Banner Image (.jpg) for the Category (Restaurant, Motel, Shopping, etc.) Page.

Comments

Payment Terms

$30.00 for each 12 months

Regular subscription price

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method

Paypal

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Expiration Date*

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Card Holder Name*

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