AGLM Company Showcase - Order Form 1-1-2021

Each month AGL Magazine's Company Showcase features a specific topic where you can present your company's profile to an audience of engaged wireless infrastructure professionals.

BILLING & ORDERING INFORMATION

I am also interested in a DIGITAL Display Ad

The information entered in this section is only for the company representative who is responsible for placing and paying for this order.

You will be required to pay for your ORDER by credit card.

This information WILL NOT appear in any of your listings.

First Name

Last Name

Phone

Select the months and topics when you would like to be featured.

Each monthly showcase is only $250.

Showcase Topics

If you would like to order additional Showcases, select "Add another response"

Sub-Total:

LISTING INFORMATION

The information entered in this section WILL appear in each of your DIGITAL listings. Please check your spelling, upload your logo, and include your statement.

List - Company

List - First Name

List - Last Name

List - Title

List - Email

List - Phone

List - Address

List - City

List - Country

List - State

List - Provinces

List - State/Province

List - Postal Code

List - Website

Upload Company Logo

Images must be in png, jpg, or gif format only. File size limit is 500 KB.

List - Statement (Maximum 50 words)

PAYMENT INFORMATION

The GRAND TOTAL will be processed through the STRIPE secure credit card process.

Full Name on Card

Card Number

Code

Discount Code (if applicable, you will receive this from your sales representative)

Discount Calculation

SUBTOTAL:

DISCOUNT:

GRAND TOTAL:

By submitting this request, I am agreeing to be listed in the AGL Showcase, to having my credit card charged for my order (if applicable), and to receive additional information on AGL products and services.

Please click SUBMIT below to review your order.

You must click CONFIRM to complete your order.

Thank You.

Contact Information