© 2009 Dream Merchant Dream Merchant 2309 Torrance Blvd. #104, Torrance, CA 90501 (310) 328-1925 email: Jkm316@aol.com
Print Form and Send With Payment to: Dream Merchant - 2309 Torrance Blvd. #104 - Torrance, CA 90501
Business Order Form
Company Name: ___________________________________________________
Name: (First)________________________(Last)_________________________
Mailing Address: _______________________City: ____________ State: ______
Zip Code: __________ Phone (____)____________email: _________________
Type of Ad: Check Below
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Payment: All ads are for one year paid in advance and must include all set up and layout fees: Ad per month ____ x 12 = $ _____ Setup & Layout Fee------$ _____ Total Due: ---------------$ ________ |
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