Chuck Crawley
ADSTPLC Newsletter Check Order Form

If you are ordering outside of the USA, please send a $10 International Money Order To:
C&L Enterprises
43 Ligon Place
Newport News Va 23608

Report Problems With This Page

To order an Ad in "The ADSTPLC Newsletter"
by check just fill out the following form and click submit at the bottom of the form.

Company name (optional)

Your first name

Your last name

Address

City

State or Province

Zip or Postal Code

Phone

Fax (optional)

Your E-Mail address
We must have an email address to give you instructions and acknowledge your order.

Chose a purchase option...

The following fields are ALL REQUIRED!

Account Holder's Name on the Check

Check Number (record this check in your check book)

Name of Bank

City and State or Province where Bank is located

Fractional ABA number (for USA banks only - looks like 91-999/999 usually located at the upper right hand side of the check

9 digit Bank Routing or Transit Number (Canadians MUST put a hyphen in the 6th position - all funds are US Dollars(Usually located at bottom left of check)

Your Account Number (include spaces and hyphens)(Usually located next to the Bank Routing or Transit Number)

Amount of Check

I authorize You to print a check on my bank for the above selected items in the amounts shown. I understand that the check will show up just like any other check on my monthly bank statement. I also authorize you to draft my account electronically for the face amount of this check AND appropriate returned check fees if your check is returned unpaid. YOUR ORDER WILL NOT BE PROCESSED IF THIS LITTLE BOX IS NOT CHECKED!


Use the comments box to enter your 6 Line Classifed Ad , make sure you include your website/email address. Plus include any special instructions concerning your ad.

We must have your name and an email address to give you instructions and acknowledge your order.


(Please make sure the form is complete and accurate and NOTE that there will be a $20 charge for dishonored checks.)