
Brigette's
Technology Consulting and Research Firm
105 Wilson Circle,
Newnan, GA 30263 USA
www.brigettes.com
brigettebrenda@aol.com
 
  
	Business Contact:  
Title:  
Business Name: 
Business Address: 
City, State, Zip:    
Business Phone: 
Business Fax: 
   
  e-Newsletter: Brigette's Explores 
  The New Reality Corporation© Concept
  
  e-Magazine: Brigette's Explores 
  The New Reality Personal Interaction© Concept 
  (Universities or Institutions with Juris Doctoral Programs Only) 
Full-Page Ad Only: $1,000.00 U.S. 
dollars (will receive 5 email copies)
Provide up to 25 lines highlighting 
the company, contact name, phone number, city and state, email address, and small logo 
(in jpeg), which will
link to organization's website.  Email this information and logo to:  
brigettebrenda@aol.com.
Print and mail this form along with 
payment.
 
Money Order  Company
Check   Bank of America check only. No other personal checks will be accepted. Make payable to: Brenda Nelson-Porter.
I understand that this ad may not produce business, profit, or clients for my organization. I understand
there are no refunds, and the Firm will not be held liable for misprints. 
The Contractee further understand any 
	legal disputes associated with this contract has to be mitigated in the 
	State of Georgia (Newnan).
  Email copy(ies) to the following email address(es):
  
  
  
  
  
 
  Signature:             
  
  Date of Purchase: