Radio FM 88 Tourist Network On-Line
Commercial and Payment Form
This transaction is for Buying air time on
Radio FM 88 Tourist Network
Payment to go to Radio FM 88 Springwood
Registered in the State of Queensland: Country of Australia
Your name
Name of Organisation
(the
advertiser)
Your street address
Your town or city
Your state, province
or county
Your post or zip code
Your country
Your phone number
Your ISD / STD code
Are you the
decision maker
Fax number for fax orders
For the purchase of the following
commercial
What day do you want ad to Start
What day do you want ad to Finish
How many times do you want ad repeated
FYI: A 30 second commercial is 60 words: A 60 second commercial is 120 words
Comments
For Internet Banking Users
This offer expires 4pm
I wish to pay by EFT
We will send you a Tax Invoice via email or fax
for you to pay
For Credit Card Users
This offer expires 4pm AEST
Payment in
Total invoice amount
Card type
Card expiry date
Name of bank that issued card
Country where card was issued
Cardholder's
name
Card number
Signature
How did you locate us
Email
You are required to put in your name and email address, then click submit for your details to come back to us
We will send you a Receipt via email or fax
for your records
Payment goes to Celestial Industries Pty Ltd
5 Bates St, Springwood Qld 4127 Registered in the State of Queensland: Country of Australia
A.B.N: 32.050.405.377