Pay for Advertising - Westmoreland Gold 98.7FM, 107.5FM, 910AM, 1480AM

Credit Card Authorization Form

Electronic Payment Authorization Form

*All fields are required.

Advertiser Name:

Contact Name:

Billing Address:

Zip Code:

Business Phone Number:

Email Address:

Payment Method:

Recurring Monthly Payment

One Time Payment

CC Type:

Visa

American Express

Master Card

CC Number:

Expiration Date:

CVV:

Invoice Number:

AMOUNT TO CHARGE:

Comments:

Station:

WHGM-AM/FM

WNAV-AM/FM

WGLD-FM

WXJX-AM/FM & WCNS-AM/FM

SPAM Protection:
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Privacy Notice

I authorize Maryland Media One, LLC, operator of MD News Network, Radio PA, WHGM-AM/FM, WNAV-AM/FM, WGLD-FM, WYAY-FM, WXJX-AM/FM and WCNS-AM/FM to bill my credit card for payment of advertising services.