Advertising Payment Form

Advertising Credit Card Authorization, please fill out the following Secure-Online order form.
All areas with asterisk (*) MUST BE FILLED.
All payments are non-refundable once submitted.
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    Debit and Check Cards Must Have Limits That Will Accept The Full Amount Of The Charge
  • Please note that we do not accept multiple-pay orders or Electronic Check transactions. In addition, we are not responsible for any overdraft fees or other bank charges you may incur as a result of your advertising purchase.
  • Please specify amount authorized and any additional notes:
    Checking this box verifies this as my electronic signature. By submitting this form I hereby authorize The Canine Chronicle to keep my credit card payment information on file.
  • This field is for validation purposes and should be left unchanged.