Business Name:
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Business Address:
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City:
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Contact:
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Business Phone:
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Email:
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Website:
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Category:
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PLEASE CHOOSE ONE:
Ala Carte Services
Attire-Gowns and Tuxedos
Cakes and Desserts
Catering
Ceremony Sites
Consultants / Planners
Decorations / Equipment Rental
Flowers
Hair Stylists
Honeymoon
Invitations
Limos and Carriages
Make-up Artists
Music and Entertainment
Officiants
Photography
Reception Sites/Banquet Sites
Videographers
Coupon Offer:
Description of why brides should buy from you (20 words or less)
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Payment:
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SILVER PACKAGE: ONLINE ONLY: $499 total for 12 months
SILVER Payment Plan: Online & Print: $799 total for 12 months
GOLD PACKAGE: ONLINE ONLY: $799 total for 12 months
GOLD Payment Plan: Online & Print: $1099 total for 12 months
Name on CC:
Credit Card:
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Exp Month:
Exp Year:
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Security Code on back:
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Billing Address:
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City:
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State:
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Zip Code:
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TERMS OF AGREEMENT: Pursuant to this binding agreement, advertiser shall pay Wedding Guide of Alaska the amount indicated above for advertising online and/or in the 2010/2011 Alaska Wedding Workbook. ADVERTISING DETAILS: I understand that I will be receiving the package I specified under the category I specified on my application. PAYMENT: Wedding Guide of Alaska reserves the right to hold Advertiser and its authorized advertising agent jointly liable for any and all amounts owed. TRUTH IN ADVERTISING / INDEMNIFICATION FOR LIABILITY: Advertiser is solely responsible for any legal liability arising out of or relating to (1) the Advertisement, and/or (2) any material to which users can link through the Advertisement. Advertiser agrees to indemnify Wedding Guide of Alaska and to hold Wedding Guide of Alaska harmless from any and all liability, loss, damages, claims, or causes of action, including reasonable legal fees and expenses that may be incurred by Wedding Guide of Alaska, arising out of or related to Advertiser's breach of any of the foregoing representations and warranties. By making your payment you accept these binding terms.
I have read and agree with terms:
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YES
NO
Security Code
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