Clone of Silver Directory Registration Form

1
FULL NAME* This field is required.
First Name
Last Name
2
NUMBER YOU CAN BE REACHED * This field is required.
Area Code
Phone Number
3
EMAIL* This field is required.
example@example.com
4
WEBSTIE
5
INSTAGRAM
6
NAME OF PRODUCT(S) OR SERVICE(S) YOU'RE LOOKING TO ADVERTISE?
7
IN A FEW WORDS EXPLAIN THE PRODUCT(S) OR SERVICE(S) YOU'RE LOOKING TO ADVERTISE?* This field is required.
8
WHAT TYPE OF POST WOULD YOU LIKE?
IG STORY POST:$5 per post
IG PAGE POST: $10 per post
BULK COST FOR FIVE IG STORIES: $35
BULK COST FOR THREE IG PAGE POST: $45
9
PLEASE UPLOARD HIGH QUALITY IMAGE(S) OF THE PRODUCT OR SERVICE(S) YOU WOULD LIKE FOR US TO ADVERTISE?* This field is required.
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Min. file size1.0KB, Max. file size: 19.1GB
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