Advertising Contract
Afghan Network iNteractive

 

 

Full Name: 

_______________________

   
Business Name: _______________________
   
Street Address & Unit #:  _______________________
   
City / Province / State: _______________________
   
Postal Code / Zip Code:  _______________________
   
Telephone: (____)__________________
   
Email (if applicable): _______________________
   
Website URL (if applicable): _______________________

Contract Details:

I, ____________________ have read and agree with the Terms & Conditions and have purchased the Package Type (circle one) A B C (see info). The contract is for ______ months. I have agreed to pay the total charge for the package $US__________ which will be paid to Afghan Network iNteractive. A receipt with details of the contract will be either emailed or delivered to your business address within 15 business days of payment .

 

____________________
Date

_____________________
Signature

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