Subscription Form

J&M Group
P.O. Box 2085
Jupiter, Florida 33468-2085

Tel. 561.799.6193
Fax. 561.799-6193

Please fill in the following information and mark the appropriate box. As a CCI member and advertiser, you are entitled to three ads of 60 words each, 90 words for two ads, and 180 words for one ad per month.

We accept major credit cards via PayPal for all of our services. We've selected PayPal as the engine for our on-line sales due to its ease-of-use, security, and reputation. Click on the Buy Now button to pay instantly with your credit card. Then submit the form with your contact information and ad. Your membership will be activated immediately.

 

YES, I want to become a CCI Member

Six Month Membership: $450. Make payments with PayPal - it's fast, free and secure!
Now includes free web page plus your 180-word ad.
Deluxe Annual Membership: $680. Make payments with PayPal - it's fast, free and secure!

Includes Website In A Box (4-page website) plus all CCI member benefits of Standard Annual Membership.

Name:

Company:

Address:

City/State/Zip:

Phone/Fax:

Your E-mail Address:


My 180 Word listing:

You can send in this form online by clicking the 'submit'
button below. Or, you can download the form and fax it
to us directly at (561) 630-3429.


Join Connexx |