Certification as a U.S. Exporter (Please select one of the following)
The entity seeking to advertise is a U.S. citizen or a commercial entity organized under the laws of the United States or of any State/Territory.
The entity seeking to advertise is a foreign-organized business that is 95 percent owned by a U.S. citizen.
The entity seeking to advertise is a foreign-organized business that is 95 percent owned by a commericial entity organized under the laws of the United States.
Billing :
Invoice
Advertiser Agency
Agency Name
Street Address
City, State
ZIP Code
Telephone
Fax
Email
Contact Name
Contact Title
Payment (pick one):
Check*
Visa
Mastercard
American Express
Credit card use authorized to secure Net 30 terms.