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| Invention CLASSIFIED AD RATES |
Inventions Available for License, Sale, Distribution, Manufacturing, Marketing, etc.
Please fill out this form and send in with your payment
| Name: | ___________________________________________________ |
| Company: | ___________________________________________________ |
| Address: | ___________________________________________________ |
| City/ST/ZIP: | ___________________________________________________ |
| Phone (H): | ___________________________________________________ |
| Phone (W): | ___________________________________________________ |
| Phone (other): | ___________________________________________________ |
| E-Mail: | ___________________________________________________ |
CATEGORY:___________________________________________________
|
Inventor: ________________________________________ Invention:________________________________________ Seeking: ________________________________________ Brief Description:________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ CONTACT INFORMATION: Name:_____________________________________________________________ Phone:_____________________________________________________________ Fax:_______________________________________________________________ E-Mail:_____________________________________________________________ Address:____________________________________________________________ |
Extra Options:
| Total number of words: | __________ |
| No. Additional words (beyond 50) [___] x 25¢ per word = | $___________ |
| No. Words in BOLD [___] x $1.00 per word = | $___________ |
| No. Words in ITALICS [___] x $1.00 per word = | $___________ |
| No. Words in CAPS [___] x $1.00 per word = | $___________ |
| No. Words in COLOR [___] x $1.00 per word = | $___________ Which color:_________________ |
| Hyperlinked E-Mail: at $10.00 | $___________ |
| Additional categories x $10.00 per category = | $___________ Which categories:________________ |
| Grand total for Extra Options: | $___________ |
Payment:
| Standard Rate: $120.00 + Extra Options $____________=Grand Total Due: $___________ |
| Amount Enclosed:$__________________ | Form of payment: Only "U.S. Post Office" Money Orders Accepted | Major Credit Cards Visa, Mastercard, AmericanExpress, Discover accepted through PayPal. |
Make payment to: Stephen Gnass
Mail to:
8306 Wilshire Blvd., Ste 391
Beverly Hills, CA 90211
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Invention Connection® Cyberspace Convention
Business Address: 8306 Wilshire Blvd., Suite 391 Beverly Hills, CA 90211
800 458-5624 / 323 460-4408
Web site: www.inventionconnection.com
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