Union Reporters

FULL NAME

First Name Last Name

BILLING ADDRESS

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

YOUR EMAIL ADDRESS

BUSINESS PHONE:

OTHER CONTACT NUMBER

AMOUNT OF PURCHASE

SPECIAL BILLING INSTRUCTIONS

PLEASE READ THE LOA BELOW

BY ENTERING MY NAME IN THE BOX TO THE RIGHT, I AUTHORIZE PLANNMEDIA TO CHARGE MY CREDIT CARD/BUSINESS ACCOUNT THE AMOUNT OF MY PURCHASE. I UNDERSTAND I HAVE 72 HOURS TO CANCEL MY PURCHASE WITH PLANNMEDIA BY EMAILING MY REQUEST TO support@plannmedia.com I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS OF PLANNMEDIA CANCELLATION POLICY.

YOUR REPRESENTATIVES NAME

NOTE: THE PROCESS FOR POSTING ALL LISTINGS IS UP TO 30 DAYS. PLEASE ALLOW THIS TIME FOR US TO BUILD AND POST YOUR LISTING/LISTINGS TO OUR WEBSITE.

WE ASK THAT IF YOU HAVE ANY PICTURES, LOGOS, SPECIAL VERBIAGE (etc.) THAT YOU WOULD LIKE US TO USE, SUBMIT THOSE TO support@plannmedia.com AS SOON AS POSSIBLE.

SUBSCRIPTION PLANS AND PACKAGES

My Payment is for the following

Full Name

First Name Last Name

COMPLETE COMPANY NAME

COMPANY PHONE NUMBER

BUSINESS ADDRESS

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add your URL (if you have your own website, we can link it to your listing)

E-mail

Special Instructions (include all States, Counties, Categories, Listings and Banners Purchased

Description of Products and Services(Tell us what you do)

Description of Discount to Appear on Ad (not required)

Do you have any of the following social media? We can add them to your listing(s):
FACEBOOK GOOGLE+ TWITTER
FOUR SQUARE LINKEDIN INSTAGRAM

Paste Facebook URL

Paste Linkedin URL

Paste Instgram URL

Paste Twitter URL

MRP