Homeschool World ® Event Payment Form
YES! Sign me up for a Homeschool World event listing!
Your Name _______________________________ Title _________________ Event Advertised _________________________________________________ Company Name _____________________________________________________ Address __________________________________________________________ City _________________________ State ______________ Zip ________ Phone ________________ Fax _____________ Email _________________ Your URL (web site address):______________________________________
I want Homeschool World to display my event listing for:
(_) 1 month, $99
MC/VISA/AmEx/Discover # ____-____-____-____ Exp. Date _____/_____ I have read and agree to Homeschool World's terms and conditions. Signature ________________________________________Date _____/_____
Note: Be sure you have first filled in the event submission page with your event's information, clicking the "For Profit" option. We need both an insertion form and your online events submission to process your request.
Questions? Call us at (636) 343-6786 or fax (636) 225-0743.
Home Life, Inc., 1731 Smizer Mill Rd., Fenton MO 63026-2635. Fax: (636) 225-0743
Subsequent payments will be billed or charged at current rates as the old payment expires.