BOOM! Enterprises

BOOM! Enterprises^®
Internet Business Consultation
Technical Design, Support & Management

CREDIT CARD PAYMENT SERVICES

Dear Advertiser / Merchant,
Please verify the services you are requesting and the correct payment for the services by reading the Contracts sent to you. For any questions or clarifications, please contact BOOM! Enterprises before submitting payment.
This form can be used with any version of Internet Explorer browser, any version of AOL browser, and Netscape Navigator 4.7 or earlier browser versions only. If you are unable to use this form, please contact BOOM! Enterprises.

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[please use numbers only, in the following format: 08/07/87]

Please enter the correct payment amount:

             BOOM! Malls & E-Zines Option 2:
Ad in BOOM! E-Zines for a period of 3 months
$

             BOOM! Malls & E-Zines Option 3:
Ad in BOOM! E-Zines PLUS BOOM! Mall stacks for a period of 3 months
$

             BOOM! Malls & E-Zines Option 5:
Ad on one BOOM! E-Zine OR one BOOM! Mall stack for a period of 3 months
$


Ad in EDUFAX E-Newsletter for the College Bound High School Students
$


Ad in The Weekly EDUFAQ
$


Other Services
$



             Enter the Total Amount: $