RMJPI CONSULTING ADVERTISING PROJECT PACKAGES BOOKING FORM Please complete the following form to book one of our Advertising Project Packages. You can send it via email or post; you may prefer to post your form if you are paying by cheque. Whichever method you choose, please ensure you print a copy of this form once completed for your records as further copies will not be available once you have submitted your application via email.
1. CONTACT DETAILS
Name:
Tel. No.:			Mobile No.:
Email:
Website:
Contact Address:
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Postcode/Zip:

2. YOUR PROJECT PACKAGE - Please use the checkboxes to select your required package and payment. If you are purchasing more than one package, please complete a seperate booking form for each.

PACKAGE:	PAYMENT:
	Deposit	Full Amount	Instalment/Other Amount
ADVERTISING PROJECT PACKAGE Mass Awareness Adverts	£500	£5000	If paying an Instalment/Other Amount, please enter your payment in the box below. £
ADVERTISING PROJECT PACKAGE Targeted Audience Adverts	£500	£4000
ADVERTISING PROJECT PACKAGE Direct Mailer Adverts	£500	£3000

3. FURTHER CUSTOMER REQUIREMENTS/INSTRUCTIONS - Please indicate in the space below.

4. DECLARATIONS - Please confirm the following statements by clicking in the boxes.

I have fully completed the form and provided as much information as I can I will be paying my dues using Paypal   OR I will be posting a cheque for the appropriate amount I will be posting my form and will sign the form at the bottom once it is printed   OR I will be emailing my form; I understand that clicking in the following box means that I am providing a legally binding signature and approval for my application to go ahead. I have read and agree to the terms and conditions Please enter todays date in the following box:

5. PRINT YOUR APPLICATION If you are emailing your application, please print one copy for your records. If you are posting your application, please print 2 copies; one for your records and one to send to us.

6. SUBMIT YOUR APPLICATION If you are emailing your application, please click the 'Submit Form' button to view payment options, ensuring you have completed all fields. If you are posting your form, please click the 'Close Form' button to view payment options, ensuring you have completed all fields.

SIGNED *: * (For use when posting form only)