Business Name(Required)Contact Name(Required)Contact Phone(Required)Contact Email(Required) Website Address Social MediaPlease list what social media you use and the corresponding URL for the business.Honors and AwardsIn up to 250 words, describe the educational opportunity your business offers. May include customer testimonial. These details in the Online Guide may be updated as often as once a month.(Required)Updates can be submitted via email to [email protected] .Business LogoUpload a good quality logo.Accepted file types: jpg, jpeg, svg, png, eps, ai, psd, Max. file size: 5 MB.Interesting Photo that Highlights an Aspect of Your BusinessUpload up to five good quality images. Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 5 MB, Max. files: 3. Select One:(Required) Two print and monthly digital issues plus 12 months online: $750 July print and digital monthly issue plus six months online: $425 January print and digital monthly issue plus six months online: $425 Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Discount Code How would you like to pay?(Required) Pay Online with a Card Mail a Check Please mail your check to: The Christian Family Publication, Inc. 5184 Caldwell Mill Road, Suite 204-196 Hoover, AL 35244 Or Phone Payment: Call 205-408-7150 Please note, your placement in the Guide is only reserved when payment is received.Credit CardFeed Required: To use the Stripe field, please create a Stripe feed for this form. Total NameThis field is for validation purposes and should be left unchanged.
