 |
|
CICC MTB Vendor Web Listing Application
(See
Site Sample)
Please complete this form if you are
interested in having a link to your website from the CICC MTB site.
You may choose to have only your Web address link on the site (BASIC -
$50) or have your Web address link PLUS a description of no more
than 50 words, and your logo of no more that 50 pixels wide (PRIME
- $100).
Once you submit your application, if I am inserting a logo,
eMail
it to Me. Be
sure to indicate your company name in the email so that I can match
it up with this application.
Note: if you take a booth space at MTB there
is NO charge for your ad. Mark the button for the PRIME ad
and
put 0 in the amount due box. (The info will also be included in the
Spectator Guide, given to all the visitors.)
*Required Field - Please type in Upper and Lower case -
DO NOT USE
ALL CAPS
|
Email Address *
|
|
|
Indicate whether you want your Web address-only or if you want the Web address PLUS description and logo.
|
|
|
(Mark this if you have a booth.) |
|
List your Web address like: www.Ad-Design.Biz Do not put http://
|
|
Web Address *
|
|
Company Description - no more than 50 words
|
|
Company Name *
|
|
|
Type of Product or Service *
|
|
|
Contact Name *
|
|
|
Telephone Number - Day Time *
|
|
|
Telephone Number - Night Time
|
|
|
Fax Number
|
|
|
Street Address *
|
|
|
City *
|
|
|
State *
|
|
|
Zip *
|
|
|
Total Amount Due
|
(Put 0 if you you have booth space.) |
|
Payment Method - Check/MO or Credit Card
|
|
Check/Money Order #
|
|
|
Credit Card
|
|
Name on Card
|
|
|
Card Type
|
|
|
Card Number
|
|
|
Expiration Date
|
|
|
Billing Address Same as Above?
|
|
|
If no, please provide billing address.
|
|
Street
|
|
|
City
|
|
|
State
|
|
|
Zip
|
|
Makes Checks payable to CFA Meet the Breeds. Send to:
Ande DeGeer, 6625 Hwy 53E, Suite 410-210, Dawsonville,
GA 30534
If you do not receive an email confirmation within 24
hours of submission, contact me. |
Before you press Submit,
Click HERE to Print Completed Application for Your Files.
DON’T FORGET TO EMAIL YOUR LOGO IF YOU WANT IT ON THE SITE. |
Reload image
|
Enter the code you see on the image:
|
SSL Certificates |
|
|
|