Purchase Form for Website/Newsletter Advertisement
Please complete and submit this with payment. The ad will start within 3 days of payment. If you are renewing a current ad, click "Renew" below. If you are renewing, but changing the ad, just upload new ad below.
Renewing current ad?
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Company
Full Name
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
E-mail
*
Advertisement Details
Upload Ad here:
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file types allowed, pdf, jpg, jpeg, png, gif
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of
Website Address to link to:
Payment Details
Advertising Options:
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( X )
Option 1 -Website-All pages including front page
$300.00
$
300.00
Option 2-Newsletter
$780.00
$
780.00
This is emailed to all the members monthly, also gets posted on Facebook, Instagram, LinkedIn and a link on the website.
Option 3-Both Website and Newsletter
$1,000.00
$
1,000.00
Total
$0.00
$
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Contact: Jennifer at 716-874-3435/716-998-0089 jennifer@conexbuff.com
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