Order Form

Order Form


Yes Advertise My Website On The Time and Temperature Network Order Form 1) Print this order from your computer. 2) Mail this form along with your payment. Company Name: ________________________________ Company Address: ______________________________ Company Phone Number: _________________________ Company Fax Number: ___________________________ City State: _____________________________________ Zip: __________________________________________ Contact Person: ________________________________ email address: _________________________________ Ad will play as Time and Temperature brouhgt to you by Your Company's Name: ___________________________ Who sells (up to 5 words to describe your business) ______________________________________________ Find us on the web at: _____________________________ Level Plan: _____________________________________ Amount: ________________ Setup Fee: $25.00 Total : _________ Payment: Check _____ Money Order _____ Please allow 10 days for your check to clear. Please make payment to Greatness Industries 504-245-0862 10800 Morrison Road Suite 103 New Orleans, LA 70127 Home Page Order Form


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