Sponsorship Signup Thank you for your sponsorshipContact Information for your organization or businessFirst Name *Last Name *Company or Organization *Organization or Company Website *Contact Phone Number *Do you allow this phone number to be placed online? Yes, I agree to have this phone number available onlineNo, I would rather keep my phone number privateNo, this is just a contact number for SOOSR adminsYour Contact Email *Do you allow this email address to be placed online? *Yes, I agree to have this email address available onlineNo, I would rather keep my email address privateNo, this is just a email address for SOOSR adminMay we add your email to the mailing list for notifications and updates? * We do not sell, nor distribute email addresses without permission.Yes, I do want updatesNo, not at this timeAddress *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryYour Sponsorship InformationDate you would like your sponsorship to begin *How many months would you like your sponsorship to last? Each spot on our website, will run $5 a month or:This will entitle you to have your ad on one page of our website, Each page additional will be $5.00 a month extra.$5 a month, minimum of 3 months ($15) per ad, per pageFirst One Year for $25, PROMOTION TO NEW ADVERTISERS FOR 20201 Year for $100 (Current Advetiser Renewal)2 years for $125, per ad, per page3 years for $200, per ad, per page4 years $275, per ad, per page5 years, $350 per ad, per pageSpecial Promotion Period SubscriptionMaking your paymentInstructions on how to make your payment: You can make your sponsorship payment by either one of the following ways: 1. Pay by Google Wallet to SexOffenderOneStopResource@gmail.com ZELLE MelbourneKevin76@gmail.com 2. By Check, Money Order, or Cash, mailed to: Kevin Miller (Sex Offender One Stop Resource) 4375 Eleanor Drive Melbourne, Florida 32935 Ad Information and DetailsFirst & Last Name of Contact Person If this is the same as the information above, you may disregard this fieldEmail Address If this is the same as the email above, you may disregard this fieldPhone If this is the same as the Phone above, you may disregard this fieldWhat are you offering on your ad? (sponsorship) *If other services, please use the text box below to inform us what your sponsorship provides.Legal ServicesHousing ResourceOther ResourceTherapyOther ServicesAddress Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryWebsite If this is the same website as above, you may disregard this fieldDo you have a logo or website banner you wish to provide? Do we have permission to place this banner or logo on our website? *Yes, i uploaded the logo or banner I wish to be used on the websiteNo, therefore I do not wish to provide a logo or bannerNo, therefore I do request SOOSR to provide a logo or banner for a small feeAd Information Details *Please type in this space, the information you wish to be placed on the ad or space you are requesting on our website.Our website link where you wish your ad to be placed? *in example: https://sexoffenderonestopresource.com/florida/florida-housing-by-county/baker-rentals/Another Ad? Location? If you have another place you would like your ad to be placed, please post it hereInstructions from what happens now After you submit all this information, we will process it, kindly wait 5 days for your payment, and once your payment is verified, we will post your ad on the website. We offer payment via Google Wallet, payable to SexOffenderOneStopResource@gmail.com or by our payment pages, or kindly send your payment via check or money order to us, we will provide you the address to mail once requested by you. We also have paypal, sexoffenderonestopresource@gmail.com Are you a human?What year is it? *Example: 2001This box is for spam protection - please leave it blank:
