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ONLINE SUBSCRIPTION FORM FOR ADVERTISEMENT
 
Sex*
 

Male      Female

 

 Title

Mr.    Mrs.   Miss. 

 


 

  Surname*                

  Other Names*        

  Username*             

  Password*              

  Repeat password* 

  Business Category*Others:

  Business Location*

Method of payment: contact MNBD at marketing@nigerniger.com or call 07028402903,07028402906



  Business Name*    

  Business Description*                     Business Address:*
              

  Phone:*       E-mail:*

Do you want advertise with us in our print media advertisement?




 

Yes 

No

 


 

If “Yes” how do you want us to contact you?
 


 

E-mail   Phone  Field worker

 

 


 


 


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Revised: 12/08/08.

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