MMIFLY AD SPACE REQUEST FORM

MMIFLY Holdings Group Inc.

141 W. Jackson Blvd Chicago IL 60604

McLaren4Eva@mmiflywear.net

www.mmiflywear.net

773-512-5964
Business AD Space Request:

EXCLUSIVE MONTHLY DIGITAL ADVERTISING SPACE. $1,000 PER CLIENT, 30 DAYS, BUSINESS REVIEW SUBJECT TO FINAL APPROVAL. MUST BE 18 YEARS OR OLDER. U.S. BASED BUSINESS RESIDENTS ONLY!!!
Business Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Website
www.example.com
How did you hear about us?*
My Products

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USDDigital AD SPACE REQUEST
FAQ REVIEW (PLEASE READ)

1. Advertising Campaign Limited To 30 Days Per

Paid Advertisement.

2. Payment Only Accepted After Final Review

Process, E-Mail MMIFLYWEAR@hotmail.com

For Alternative Payment Method(s).

3. Advertisement Must Be In At Least One Of The

Following Formats. JPG, PNG, Or YouTube Video.

Alternative Links For Advertisement Acceptable.

4. All Sales Final Once Approved For Commission.

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.