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Chicago Communicator News Media

Subscription Form

Please print:

1.         Name__________________________________________________________

2.         Address________________________________________________________

3.         Telephone or Cell Number _________________________________________

4.         Email address ___________________________________________________

5.         Payment Method

            a.         ___Visa

            b.         ___Master Card

            c.         ___PayPal

            d.         ___Business or Personal Check

6.         Term of subscription

            a.         ___30 days

            b.         ___60 days

            c.         ___90 days

            d.         ___indefinitely

7.         Type of advertisement you would like to discuss:

            a.         ___Television visibility

            b.         ___A television series

            c.         ___30 / 60 second public service announcement

            d.         ___30 / 60 second TV / Radio commercial spot

            e.         ___Online or local TV / Radio / show

            f.          ___Print display advertisement

           g.         ___Article written by a professional reporter

            h.         ___Photographer (private photo shoot)

            i.          ___Videographer (private video tapping)

            j.          ___Graphic Artist

            k.         ___Local Entertainer

            l.          ___Interested in playing a role in a new television show

 

            This outline is an overview of the services available to any prospect through CCNM, and there is no obligation to purchase or participant in any contractual service listed on this document.  

            Your signature is for your subscription to the online CCNM publication at www.ccnewsmedia.org.  Your subscription ensures that you will receive a daily update of the publication for the term that you select.  You can also submit a one page announcement, a photo, a one minute video clip, or a 30 second audio broadcast via our email at info@ccnewsmedia.org for the same $.70 per week fee.

 

 

Signature _____________________________________________________Date ___/___/20___