Payment
To insure immediate processing of your Press Release and all Intenet Marketing,
without recourse, we have been authorized to accept payment by phone, fax, or email.
Complete the information below to distribute your Press Release and Marketing now.
Name ___________________________
Address _________________________
Company ________________________
Title of Release ___________________
Bank ___________________________
Address ________________________
City ___________________________
State _________________Zip _______
Routing # _______________________
Account # _______________________
_____Press Release Services ____Email Marketing Services
I hereby authorize OCTOINFO to debit my account for $_____________us
for services rendered that I requested.
______________________
Company
______________________ _____
Authorized Account Holder Name Date
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