Your name:

your business name:

Your e-mail address:

Your phone number: Country code Area code Local number

You would like to provide the following information for PlaceMark:

Business name:

Contact phone number:

Business address :

Please provide up to 50 words of your business information！Please note, the information will be translated into Chinese for free of charage.

My website URL: My business information (up to 50 words):

You understand and agree the terms and conditions to use the services

DECLARATION I have read and understand the terms and conditions and agree to abide by them Terms and Conditions: 1. the supply of the information is true and correct, the contain of the advertisement for publication that is with the generally accepted community standards 2. the publisher offers a free professional translation from English to Chinese and it's artwork production services, and the publisher reserve the right for the final editing and designed of the advertisement 3. the advertiser understands that once a booking is signed and confirmed, cancellation is not possible 4. the publisher reserve the right to alter, abbreviate, reject or withdraw advertisements received for publication without any reason being given to the advertiser 5. the publisher reserve the right not to publish the advertisement which is not correct or misleading or deceptive or likely to mislead or deceive or which otherwise breaches the Fair Trading Act of Australia and New Zealand, if published, the publisher shall not be hold liable under the Advertising Standards Authorities. 6. the publisher shall be only limited to the cost of the space of the relevant advertisement but shall not be liable for any direct or indirect loss or damage in respect of any amendments changes, omissions, delays, errors or inaccuracies however caused arising from the advertisement made by the publisher 7. the advertiser indemnifies the publisher from and against any other costs or liabilities of any nature, taken, made, or awarded against or incurred by the publisher rising with the advertisement or any modification or alteration to the advertisement made by the publisher 8. the payment must to be paid in full within 7 days of the date once the Tax Invoice is issued, otherwise the advertiser will be liable for 12% interest per annum and all costs of recovery, commissions and collection fees if the payment is not made by the due date 9. the advertiser must inform the publisher immediately if there is an errors or omission in the advertisement that has placed 10. the advertiser understands that the publisher own the copyright of the publication 11. the publisher reserve the right to change the style and art design or the name of the publication without notice if it is necessary, or publish the advertisement at a time different from the originally booked if there is an error or delay in publication

You have check the information that you have proived is correct, and you state that you are the authority person to do so.

YES:      NO:

MANY THANKS!