Space Order Page
Biz Ad Resources.com
Mail To:
Jamie Schizkoske
555 Bell St.
Pembroke, Ontario
Canada.K8A-7Y5
Fax no.(613) 732-1388

Print Out This Page and Fill Out Order Form

Renewal Note: To renew your ad place every month you must send your next renewal check before the 30th of every month. You will be notified by email to renew.

Personal Check Must Be Certified

Make either $ 65,$ 55 or $ 45.00 US Check, Money Order or Visa Check [Payable] to: (Jamie Schizkoske)

Please PRINT Clearly

FIRST NAME :___________________________________________

LAST NAME :_______________________________________________

ADDRESS:__________________________________________________

SUITE/APT:________________________________________________

CITY/TOWN:________________________________________________

STATE/PROVINCE:___________________________________________

COUNTRY:__________________________________________________

ZIP/POSTAL Code:__________________________________________

EMAIL ADDRESS:____________________________________________

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