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THE BANNER / WEBPAGE OPTION

Individuals and smaller companies that offer a unique product or service that wish to purchase a banner, please complete the following form.

Please provide ALL information requested.

KIOSK PAVILION INQUIRIES
Name:

Title:

Company Name:
Company Address:
City:   State:   Zip:
Country:
Telephone #: Fax #:
Website:
Email:

Please include a description of your product or service (up to 150 words)

Please email us or send us pictures (3" X 5") that can be included with your information.

The introductory cost of ONE banner is $600 per year or $1100 for a two year term.

YES, I want to purchase a banner/webpage for a term of one year two years at the cost of $600 for a one year term and $1100 for a two year term.

Our contract term will begin on (Enter start date)
An invoice will be sent to you immediately.

Terms: Net 30 days. Please note that your banner & webpage will be placed only after payment is received.

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