Advertisement Purchase Form
Please complete this form to place your advertisement on the Rahma Center website.
Full Name (Contact Person)
*
First Name
Last Name
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Advertisement Details
Business Name (This is what will be displayed)
*
Website Address to Link the Business Name to
*
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Business Advertisement Terms
To cancel your monthly subscription, please contact the office at: office@therahmacenter.org
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1-Month Business Advertising
You will be contacted each month to make a payment to renew your advertisement.
$
100.00
Quantity
1
3-Month Business Advertising
You will be contacted every three months to make a payment to renew your advertisement.
$
300.00
Quantity
1
6-Month Business Advertising
You will be contacted every six months to make a payment to renew your advertisement.
$
600.00
Quantity
1
12-Month Business Advertising
You will be contacted every twelve months to make a payment to renew your advertisement.
$
1,200.00
Quantity
1
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: