Tae Kwon Do Journal
(On-Line Advertisement Submission Form)

Tae Kwon Do Journal
P.O. Box 281,   Grand Blanc,   MI   48480   USA


This On-Line Advertisement Submission Form
is for those paying by CREDIT CARD ONLY!


Complete the form below and then click "Submit Application" at the bottom of this page.

ITA Home Page   Tae Kwon Do Journal Home Page    Tae Kwon Do Journal Advertising Page 





Publication:
Advertiser:
Street Address:
City:
State:
Postal Code:
Country:
Phone:
E-Mail Address
Ad Type And Location:
Attach Your Ad File:(Required):

You must attach a your ad fille in a .jpg or gif format, no larger than 110K.


Dates of Insertion
(All ads begin on the first of each month)

First Month Ad Is To Run:    
Last Month Ad Is To Run:    
   
If you wish your Ad to appear in a specific article, type the title of the article in below in the area provided. If the space is unavalable we will contact you..
Title Of Specific Article:



Credit Card Holder Information

Name (As it appears on Card):
Street Address:
City:
State:
Zip Code:
Country:
Phone: (Required
E-Mail Address (Required)


Credit Card Information

Card Number:
    Credit Card:     Exp. Date: Month     Expires (Year):



Agree To Terms and Condition Of Advertisement
Acceptance of "Terms and Conditions" (Required)

 
    

Secure form by FormNut.com

Return To Tae Kwon Do Journal Home Page