|
Contact
VegSource
Use this form to contact
us about signing up for the VegSource dealer program.
The easiest way to sign up is by fax. Fax the following information
to: 818-337-1957. Once you are accepted into the program, you will
be able to renew on-line.
Accepted Payment Method: American Express, Discover, MasterCard,
Visa
PLEASE NOTE: As this is a website ad, there are no refunds offered
after your sign up for the program. If you sign up and are then
unavailable to use your posting code, your subscription time will
not be extended. If you post past your expiration date, the card
we have on file for you will be charged.
Card Number ____________________________
Expiration Date (mmyy) _____________
Amount _____________________
Description: VegSource Dealer Program
(pending approval by vegsource)
First time regular dealer:
1 month: $27.00
3 months: $65.00
CHECK HERE FOR AUTO-RENEWAL: _____________________
(your credit card will be charged shortly before your expiration
date, and your date will automatically change at the correct time
to the updated expiration)
Publishers/Self Publishers/Authors:
First time publisher, etc.:
1 month: $44.00
3 months: $104.00
CHECK HERE FOR AUTO-RENEWAL: _____________________
(your credit card will be charged shortly before your expiration
date, and your date will automatically change at the correct time
to the updated expiration)
-----
Regular dealer Renewal:
1 month: $27.00
3 month: $65.00
CHECK HERE FOR AUTO-RENEWAL: _____________________
(your credit card will be charged shortly before your expiration
date, and your date will automatically change at the correct time
to the updated expiration)
Self Publishers/Authors Renewal:
1 month: $44.00
3 months: $104.00
CHECK HERE FOR AUTO-RENEWAL: _____________________
(your credit card will be charged shortly before your expiration
date, and your date will automatically change at the correct time
to the updated expiration)
Customer Billing Information
First Name _______________
Last Name ___________________________
Company/Posting Name____________________________ (what you want to appear
with your ads)
Password (six character combination letters/numbers)___________________
Address _________________
City ____________________
State/Province _____________
Zip Code __________________
Country _____________________
Phone __________________
Fax _____________________
Email _________________________
You may use the form below to contact us via email. (We do not
recommend sending credit card information via email.)
|
