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SICA LED EXPERIENCE FORM
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1
Name of Business
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2
Representative
First Name
Last Name
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3
Phone Number
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4
Email
example@example.com
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5
Upload Logo
Larger files email to Info@sicommunityalliance.org
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: 10.6MB
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6
My Products
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My Bag
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My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
Remove
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
TIER 1
YOUR BUSINESS LOGO ONLY$50 PER AD
$
50.00
+
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Quantity
TIER 2
VIDEO OR COMMERCIAL 10-15 SECONDS $150 PER AD
$
150.00
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Quantity
TIER 3
TIER 1 & 2 INCLUDED, 16-30 SECONDS VIDEO, LISTED ON SICA WEBSITE FOR ONE YEAR
$
200.00
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Signature
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8
Payment Methods
Debit Or Credit Card
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First Name
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Credit Card Number
Security Code
Card Expiration
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SICA LED EXPERIENCE FORM
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