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Industry Products & Services Advertorial
$250.00
Existing members - check here if this is a renewal Membership valid for one year to the nearest calendar quarter
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To send this information electronically, click the submit button below.
Or print the completed form and mail or fax to the address above
We are requesting the following data format for directory consistency:
Name of Company
Contact (for PBA records only)
Address
City
State
Zip
Country
phone
Fax
e mail
website address:
Product Name or Service
100 words of copy
Please submit two photos or line art for inclusion in Advertorial. Credit Card Biling Information
Visa
MasterCard
American Express
Number
Expiration date
Name as it appears on credit card
Address on credit card statement, including city, state and zip code
Signature of card holder ___________________________________________
Submitting this form authorizes PBA to charge my card. If you prefer, you may submit this completed form and provide your credit card information by fax or phone.
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Supporting Members Logo for Website Use
Supporting Members in good standing may use this logo on their web pages and in brochures and flyers to show
their affiliation with PBA and the principles for which it stands. Unauthorized use by non-members will not be allowed. Agents, outfitters, industry product manufacturers
and service providers joining as supporting members will be emailed a copy of this logo for their web page use, and/or may download this one if it is more convenient.
To copy this logo for use on your website or brochures/flyers, simply right-click on the logo with your mouse. Then in the window that opens up, click
on "Save Picture As" and then select the drive and file where you want to save it. The digitized logo can then be added to your web page and brochures/flyers . |