Applicant Information First Name * Last Name * Address City Postal Code Phone * E-mail Advertisement Options: I would like my Ad to be the size of 100 px high 200 px high for 1 2 3 4 5 6 7 8 9 10 11 12 months. We won't do any graphic designing for your ad: -You will need to email it to us at [email protected], -Image: .gif or.jpeg -In the specific size: the smaller one (175 px by 100 px) and the bigger one (175 px by 200 px) Ads will be put on the website after the payment is received. Security: JRCC uses technology that encrypts all information from the end-user to the web server. This is known as SSL encryption. In fact we use the highest form of this encryption, 128 bit SSL encryption. Secure pages are identified by the "lock" icon in your browser and by the web address beginning with "https://" Payment Method: Payment Amount: $ Bill me Credit Card: Bill my Amount Card Number 01 02 03 04 05 06 07 08 09 10 11 12 2017 2018 2019 2020 2021 2022 2023 2024 2025 Expiration Date If you would like to add any comments, special request, please do it here: This page uses 128 bit SSL encryption to keep your data secure.
