CONFIDENTIAL Harrington & Crowdy Head Chamber of Commerce Web Ad ORDER FORM

	PRINT OUT ORDER FORM
	For Advertising on the Harrington & Crowdy Head Chamber of Commerce website. Go to http://www.HarringtonCrowdyHead.com/Quote for the online version, Thanks! Click here for Adobe Acrobat PDF version

Your Details
Your Name
Business Organisation or Group

	Where is your business or organisation?
Street Address

City
PostCode
	What is your Mailing Address?
Mailing Address

City
PostCode
	Please provide your contact details:
	(These are only to contact you; your listing contact info can be different)
EMail
Fax
Phone

	Please tell us about your business or group:
	(Please tick ONE)
	We Are A: Business Religious Group Service Organisation Club or Social Group
	We provide/are a: (Please describe your business -- fishing, accommodation, restaurant, etc).



Your Order Please!
We are: (tick top-most which applies)
	Chamber Members
	We Would Like To Join the Chamber*	(Add: $25)			$
	In Harrington or Crowdy Head
OTHER	Outside the Chamber Area (Please write in the name of the community or area below)


We'd Like:				OUT of AREA	Totals
(Please write in number on left, then amount on right)		MEM	NON-MEM
BASIC	Additional Basic Listing(s)	$9	*n/a*	*n/a*	$
	Limit:	4
	Off-Site Links	$12	$24	$24	$
	Limit:	5	1	1
	On-Site Links	*FREE*	$9	$9	$
	Limit:	*n/a*	1	1
ENH	Enhanced Listing(s)	$59	$69	$89	$
	Limit:	5	1	1
FULL	Full-Page(s)	$139	$169	$199	$
	Limit:	1	1	1
	Additional Full-Page(s)	$99	*n/a*	*n/a*	$
	Limit:	4
TOTAL: $
For full information on limits, terms and conditions, visit HarringtonCrowdyHead.com/Ads

Your Questions or Comments!
Please tell us a little about your business if you'd like, or any questions, comments or suggestions you have for your Chamber about your listings with us. THANKS! I have read and understood the Advertising Terms and Conditions and am authorised to make this order for my business/organisation/group
Fax this form to the Chamber Secretary on 6556 3211, or mail to The Chamber Treasurer, P.O. Box 1, Harrington, NSW 2427 Please use the ONLINE FORM with instant Quote Calculator where possible! Click here for Adobe Acrobat PDF version *Chamber memberships subject to approval by the Chamber and acceptance of membership conditions of the Chamber by you.

PRINT OUT ORDER FORM

For Advertising on the Harrington & Crowdy Head Chamber of Commerce website.

Go to http://www.HarringtonCrowdyHead.com/Quote for the online version, Thanks! Click here for Adobe Acrobat PDF version

Your Details

Your Name

Business Organisation or Group

Where is your business or organisation?

Street Address

City

PostCode

What is your Mailing Address?

Mailing Address

City

PostCode

Please provide your contact details:

(These are only to contact you; your listing contact info can be different)

EMail

Fax

Phone

Please tell us about your business or group:

(Please tick ONE)

We Are A: Business Religious Group Service Organisation Club or Social Group

We provide/are a: (Please describe your business -- fishing, accommodation, restaurant, etc).

Your Order Please!

We are: (tick top-most which applies)

Chamber Members

We Would Like To Join the Chamber*

$

In Harrington or Crowdy Head

OTHER

Outside the Chamber Area

(Please write in the name of the community or area below)

We'd Like:

OUT of AREA

Totals

(Please write in number on left, then amount on right)

MEM

NON-MEM

BASIC

Additional Basic Listing(s)

$9

$

4

Off-Site Links

$12

$24

$24

$

5

1

1

On-Site Links

$9

$9

$

n/a

1

1

ENH

Enhanced Listing(s)

$59

$69

$89

$

5

1

1

FULL

Full-Page(s)

$139

$169

$199

$

1

1

1

Additional Full-Page(s)

$99

$

4

Fax this form to the Chamber Secretary on 6556 3211, or mail to
The Chamber Treasurer, P.O. Box 1, Harrington, NSW 2427

*Chamber memberships subject to approval by the Chamber
and acceptance of membership conditions of the Chamber by you.