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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First Name
Last Name
Title
Organization / Company
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:

CATEGORY / SECTION OF YOUR CHOICE (eg. Seafood Processors, Commercial Fishing etc)

YOUR KEYWORD CHOICE (Optional Extra @ �25.00 each)
1.	2.	3.
.
BANNER	Sea-Ex designed banner (Free Service)	I will supply my own banner
	.

Silver Advertising Membership Payment Information:

Duration DESCRIPTION

1 year Blue Water Advertising Membership @ �350.00 *

*Australian companies please note that this is +GST

Secure Online Payment
using:

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