PTPA Startup – Checkout v.2 – PTPA Subscription Page

Congratulations! You are one step away from accessing 250,000 consumers.

Simply complete the form below to get started. You will only be charged the one-time fee and your subscription WILL NOT begin until we have completed testing your product. Pricing and details will be calculated automatically for you. Upon receipt of payment, you will be provided details on the submission process and how to proceed.

Subscription quantity

Company Name:

First Name:

Last Name:

Product Name(s):

E-mail address

Cardholder’s name

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I acknowledge and agree that by submitting a product or service for testing, the entity submitting the product or service will: (i) be billed a non-refundable testing fee, regardless of whether the product or service earns the PTPA Media Inc. certification, and (ii) in the event the product or service submitted earns the PTPA Media Inc. certification, the undersigned will be enrolled in a one year (minimum) subscription agreement, with fees payable on a monthly basis, in an amount determined by the package selected.

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