IGM Buyers Guide Submission Form

Please enter the items in the form below to be added to the SIGMA Advertisers Directory on the Web Site. A Basic Listing with your contact information is free if you advertise in SIGMA's bimonthly publication, Independent Gasoline Marketing. If you are not an advertiser, the listing costs $250 for the calendar year. You may add a 30-word company description, a web link, and/or a company logo for an additional $250/each/year.

First Name: 

Title: 

Company Name: 

Address: 

City: 

State/Province: 

Country: 

Postal Code: 

Phone: 

Fax: 

E-mail: 

Web Site Address listing
(does not include hyperlink)

30-word description
$250 per year
 

Web Site Hyperlink
$250 per year

Yes, link to my web site address
No thanks

Please add the company logo
(limited to 150 x 150 pixels - gif or jpg)
$250 per year

Yes, add the logo No, I'll pass
Note: SIGMA's webmaster will obtain
the logo from your company web site

For security purposes, please do not enter your entire credit card information in the space below. Please just confirm your credit card on file, by entering its LAST FOUR DIGITS and its CURRENT EXPIRATION DATE.

If you do not have a credit card on file, a SIGMA staff member will call you to confirm the total dollar amount of registration and will ask for credit card information at that time.

Last four (4) digits of your credit card on file
Credit Card Expiration (mo/yr)

Suggestions/Comments: sigma@sigma.org
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