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Blue Water Advertising Membership


For your one year BLUE WATER ADVERTISING MEMBERSHIP please complete this form:

NOTE: This is NOT for the Commercial Fishing/Seafood section of the site, if you want a listing in that section, please see
http://www.sea-ex.com/commercial1/membership.htm

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Your Information will not be shared or used by any third party firm.
To find out how we use your information view our
Privacy Policy
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First Name
Last Name
Title
Organization
Postal Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL
CATEGORY/SECTION OF YOUR CHOICE
YOUR KEYWORD CHOICE
1. 2. 3.
.
BANNER Sea-Ex designed
banner
(Free Service)

I will supply my
own banner

     

Please give a description of your products and services and any relevant information you would like included in your advertisement:

.

Blue Water Advertising Membership Payment Information:

Duration DESCRIPTION
1 year Blue Water Advertising Membership  @  � 350.00 *
   

We will email our banking details once we receive this application.

*Australian companies please note that this is +GST

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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