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First Name: Last Name: Email: Confirm E-mail (Please retype E-mail to confirm) Payment Amount: Payment For: --Choose One-- A LA CARTE: $199 A LA CARTE PLUS (BOOK): $299 A LA CARTE PLUS (POETRY/SHORT PROSE): $275 A LA CARTE Gift Certificate: $199 AD - FEATURED or MEDIA BLITZ - $96 AD - FEATURED + MEDIA BLITZ - $192 AD - Facebook Boost CLIENT ELITE SERVICE: $250 CLIENT INVOICE (CYCLE PAYMENT) CLIENT UPDATE ONLY Contests E-books Formatting Peter K. Hixson Award Donation Proofreading REGISTRATION FEE REINSTATEMENT FEE Typing Self-Publishing Relief Web Design OTHER Notes: