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Purchase


PRIMARY CONTACT

Fields marked (*) are required.
*Organization:
*Address:
*City:
*Province:
*Postal Code:
*Phone:
( ) - Ext.
*E-mail:
   
PRIMARY CONTACT PERSON
*First Name:
*Last Name:
Phone (if different than above):
( ) - Ext.
E-mail (if different than above):
   

PLEASE CHOOSE ONE OF THE FOLLOWING:

$150
Pre-Paid 3 Pack* of Postings $400
Pre-Paid 5 Pack* of Postings $650
Pre-Paid 10 Pack* of Postings $995
Six Months Unlimited Postings $2,995
One Year Unlimited Postings $4,995
* Note: 3, 5 and 10 Packs must be used within one year of the date of purchase.
 
Instructions or Comments:
 

FEES

Subtotal:
$
5 % GST #R122935695:
$
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TOTAL PAYMENT DUE : $