Thanks for your interest in PR NewsChannel!
To begin, fill out the form below. If you prefer, you can download the PDF version and fax it to 813.443.5540 or email to [email protected]
We will contact you shortly after we receive your information
For immediate assistance, contact us at 888.399.5534, or 813.708.1220
| Company Contact Information | ||
| Company Name: | ||
| Company Contact Person: | ||
| Email: | ||
| Address: | ||
| Country: | ||
| Telephone: | ||
| Fax: | ||
| Referral Company: (if applicable) | ||
| Your Website: | ||
|
Business/Industry: |
||
| Structure: | ||
| Public/Private: | ||
|
Stock Symbol: |
||
|
Stock Exchange: (if public) |
||
| Billing Contact (Only fill in address if different from above.) | ||
|
First Name |
||
|
Last Name: |
||
| Address: | ||
| Country: | ||
|
Telephone: |
||
|
Fax: |
||
|
Billing Email: |
||
| Payment Method | ||
|
Card Holder Name: |
||
|
Card Number: |
||
|
CVV (code on back of card): |
||
| Credit Card Type: | ||
| Expiration Date: |
/ |
|
| Other | ||
| Comments/Special Instructions: | ||
|
Terms and Conditions:The person undersigned recognizes that PRNewsChannel/PRNewsChannel.com is a membership newswire engaged in the business of worldwide data transmission. As a member of PR NewsChannel, I (we) warrant that I am (we are) solely responsible for the accuracy, originality and factual content of all materials submitted to PRNewsChannel for distribution. I (we) further warrant that the material provided to PRNewsChannel does not infringe upon any copyright, trademark or other intellectual property rights worldwide of other persons. I (we) agree to indemnify and hold harmless PRNewsChannel, its parent corporation Selig Multimedia, Inc., its officers, directors, employees and contractors from any claims arising out of the content of the material furnished. PRNewsChannel reserves the right to refuse to disseminate any information that reasonably appears to PRNewsChannel to be defamatory, obscene, false or misleading. The undersigned will provide material for distribution by PRNewsChannel in accordance with this agreement and hereby grants PRNewsChannel the rights to reproduce, distribute, syndicate, translate and create derivative works of the material. I (we) further authorize PRNewsChannel to charge the above-referenced credit card for services rendered. I (we) understand the transaction begins when I (we) send via email or upload the press release to PRNewsChannel. If this account becomes delinquent, I (we) acknowledge and agree that PRNewsChannel may demand payment of the balance owed in full, with accrued interest according to applicable laws and late charges. In the event of a default on the balance owed, I (we) agree to pay all costs of collection, including attorneys fees and costs which are incurred by PRNewsChannel or its agents. I (we) agree that all invoices are payable upon receipt. I (we) agree to pay according to these terms. (By submitting this form, you agree to the terms and conditions specified above.) |
||
