Gold Advertising Membership

First Name
Last Name
Title
Organization
Postal Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Give a brief description of your company services and products
that you would like to appear with your listing:

Gold Advertising Membership Payment Information:

Duration	DESCRIPTION
1 year	Gold Advertising Membership  @  € 499.95 *
We will contact you with banking details so that you can make a Telegraphic Transfer from your bank account.

*Australian companies please note that this is +GST

We will contact you with further instructions, including your username and password
for the Trading Board Membership once payment has been received.

Please type the letters from the image above into the space provided below.
(Type the characters as you see them, letters are case sensitive):

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