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Advertising is as Easy as 1-2-3
Thank you for joining our advertisers
WELCOME TO BIGPINEKEY.
COM

Step 1
What is this payment for?
If this is the first time you're advertising with us don't forget to check the one-time design and set-up box.
We will have to total your order because this order form is crappy.

Coconut Telegraph Ad for Quarter Year $239.40 for 12 weeks
Business Directory Banner Ad $89.88 for 12 weeks
One Time Design and Setup $49.95 (include only with initial payment - not renewals)
Special Short Time Advertisement Enter amount previously agreed upon with sales rep.
Miscellaneous Service or Goods Please enter service and price agreed upon with salesperson in this text box:

Step 2
Payment Information:

Email Address: *
Business Name:
Card Holders Name: *
Card Holders Address: *
Card Holders Address 2:
City: *
State/Province: *
Zip/Postal Code: *
Country: *
I will pay by check
When paying by check please continue to fill in this form and place zeros for the credit card number. Make check payable to: 
Bigpinekey.com

PO Box 431755
Big Pine Key, Fl 33043
Credit Card Type: *
Credit Card Number:  *     CW2* 3 digit number on back of card
Expiration Date:  Month Year*
    *Indicates required field
Type any comment here:

Step 3
Finalize Payment in a secure environment:



If you do not receive a Confirmation Page after submitting your payment the transaction is not complete.
Please retry or contact us at payment@bigpinekey.com

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