FCCA Affiliate Marketing Material

FCCA Affiliate Marketing Material

Order customized marketing material for YOUR center!
View the FCCA Affiliate Rack card Design Options here.
Center Name *
Center ID # *
Contact Name *

First Name Last Name
E-mail address *
example@example.com
Contact Phone Number *
What language do you want your rack card in?

English Spanish
Are you in the continental United States?

Yes No

CUSTOMIZED INFORMATION
Type ALL content as you want it to appear on the printed material.
To view a sample, click here.

The website URL will go on the front of the rack card and all your contact information will go on the back.

If you do not have a website, you can use a phone number or social media URL.

Type all the information AS YOU WANT IT TO APPEAR on the printed material.

	Type as you want it to appear	Do Not Include
Center Name
Center Website
Center Location Address
Center Phone Number
Center Email Address
Social Media #1 URL
Social Media #2 URL
Other

PAYMENT AND SHIPPING INFORMATION
Billing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Is shipping address same as billing address? *

Yes No
Shipping Adress *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Special Notes
Should be Empty: