Please Note: First Name, Last Name, Phone and Email are required.
Name:
(required)
Company:
Phone:
(required)
Email:
Short Description:
Invoice/Item Number:
Enter Payment Amount:
If paying by check, please send a check for the amount you are paying to the address listed under Additional Payment Options below.
Pay with your Credit Card:
Fill in the First Name, Last Name, Phone and Email above to submit your payment online.
Additional Payment Options:
If Paying Over the Phone:
Call 323-989-2527 to pay with your credit card over the phone.
Make Payable To:
Blaq Media Group
6160 Warren Pkwy.
Suite 100
Frisco, TX 75034
Memo:
2024-1121-072723
