Advertising Commercial and Payment form for the radio FM 88 Network

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Radio FM 88 Tourist Network On-Line Commercial and Payment Form

This transaction is for Buying air time on Radio FM 88 Tourist Network
Payment to go to Radio FM 88 Springwood
Registered in the State of Queensland: Country of Australia

Your name
Name of Organisation (the advertiser)
Your street address
Your town or city
Your state, province or county
Your post or zip code
Your country
Your phone number
Your ISD / STD code
Are you the decision maker
Fax number for fax orders
For the purchase of the following commercial
What day do you want ad to Start
What day do you want ad to Finish
How many times do you want ad repeated
FYI: A 30 second commercial is 60 words: A 60 second commercial is 120 words
Comments

For Internet Banking Users	This offer expires 4pm
I wish to pay by EFT
We will send you a Tax Invoice via email or fax for you to pay

For Credit Card Users	This offer expires 4pm AEST
Payment in
Total invoice amount
Card type
Card expiry date
Name of bank that issued card
Country where card was issued
Cardholder's name
Card number
*Signature*
How did you locate us
Email

You are required to put in your name and email address, then click submit for your details to come back to us
We will send you a Receipt via email or fax for your records
Payment goes to Celestial Industries Pty Ltd 5 Bates St, Springwood Qld 4127 Registered in the State of Queensland: Country of Australia A.B.N: 32.050.405.377

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