Queensland > Business Placement Feedback Form

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Queensland

Business placement Feedback Form

General Details

Business Name
Contact Name
E-mail Address
Phone Number
Fax Number
Website Address
Type of Business
Other Business Type
Business Address
City
State
Post Code

Brief Description about your Business

 

Payment - For Business Ad Placement in Rural Life Australia Directory
I agree to pay *$55 per Year for placing my Ad in Rual Life Australia
I agree to pay *$20 per year to Include my Logo
(e-mail will be sent for this Logo image )
By Direct Banking - Deposit Online Banking
By Bank Tranfer - my Local Branch
By Cheque
I agree to the Terms and Conditions of this Ad Placement

*GST Inclusive

   
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