ACH PAYMENT INTAKE FORM

SEMINAR INTAKE FORM

After you fill out this order request, you will be directed to download our ACH payment PDF Form. You will need to download this form, fill it out with your information and fax it back over to us so we can them process your payment. Please fill this page out in its entirety. Contact us at liz@masstvmedia.com if you have any questions.

HOW TO CONTACT US

(888) 848-8017
 
liz@masstvmedia.com
 
P.O. Box 8881
Greenville, SC 296047