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supplier Details
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Trade:
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Description
:
Title:
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First Name:
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Last Name:
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Address 1:
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Address 2:
Address 3:
City/Town:
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Postcode:
County:
Country
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Australia
Denmark
France
Germany
The Netherlands
United Kingdom
USA
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Work Phone:
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Home Phone:
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Mobile:
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Email:
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Website:
FaceBook:
Logo:
Subscription Level:
Select Subscription Level from list
Bronze
Silver
Gold
Advert Size:
Select Advert Size from list
No Advert | £100
Small Ad | £450
f. Sixteenth Page | £950
e. Eigth Page | £1,750
d. Quarter Page | £3,000
c. Half Page | £5,500
b. Full Page | £9,750
a. Cover | £11,700
Amount Due:
Date Paid:
Date Due:
Comment
:
Publish:
Y/N
Authorised by:
Confirm order
Position:
Confirm Position
By completing this form you are committing to a minimum of 1 year subscription to the VMCC Supply Bank at the level selected above. All prices are exclusive of VAT. An invoice will be raised on receipt of this order, payable within 30 days or your subscription may be suspended.
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