Care - Website Advertising Form
Business Name
Contact Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
I'd like to purchase:
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300x300 Ad Block
Annual Cost: $300 (or $25/month) Includes: design of your ad and then placed on the OUR GIVERS page on our site with link to your website. Contribution to go towards our general fund. We will also recognize you as a donor on our social media pages.
$
300.00
284x144 Ad Block
Annual Cost: $300 (or $25/month) Includes: design of your ad and then placed on the right hand widget column on our site with link to your website. Contribution to go towards our general fund. We will also recognize you as a donor on our social media pages.
$
300.00
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.
Submit
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