Radio Personality
Media Strategist
Philanthropist
Couturier
- About Mercury Girl
- Couture Collections
  - B3
  - C3
  - E3
  - G3
  - CS
  - P3
- Parties & Events
- Mercury Girl Store
Podcasts
Press & Media
- Television
- Video
- Print
Social Media
- Facebook
- Facebook Fan Page
- Foursquare
- Linkedin
- Twitter
- Yelp
- YouTube
About
Forms
Contact

RSS
Twitter

Star Maker Order Form

6* Media Star Maker Multimedia Portfolio Packages

Please find our current 2012 Specials

SHINING STAR - $750 | PACKAGE SPECIAL $600
- 30 Minute Media Strategy Consultation
- 15 Minute Live On-air Interview
- Social Media Marketing Campaign
- Podcast Package
CONSTELLATION - $1075 | PACKAGE SPECIAL $850
- 45 Minute Media Strategy Consultation
- 30 Minute Live On-air Interview
- Social Media Marketing Campaign
- Podcast Package
SUPER NOVA - $ 1400 | PACKAGE SPECIAL $1050
- 60 Minute Media Strategy Consultation
- 60 Minute Live On-air Interview
- Social Media Marketing Campaign
- Podcast Package
THE ZODIAC - $2000 | PACKAGE SPECIAL $1500
- 60 Minute Media Strategy Consultation
- 90 Minute Live On-air Interview
- Social Media Marketing Campaign
- Podcast Package
- Personal Podcast Channel
ORDER FORM: PLEASE SELECT A STAR MAKER PACKAGE
Selections will be totaled below.
SHINING STAR
Price: $600.00 Quantity:
CONSTELLATION
Price: $850.00 Quantity:
SUPER NOVA
Price: $1,050.00 Quantity:
THE ZODIAC
Price: $1,500.00 Quantity:
Total
$0.00
PLEASE SELECT PAYMENT TYPE :
- Credit Card
- Check (Online Intuit Invoice Emailed)
- PayPal (Online PayPal Invoice Emailed)
- Please Invoice Me
Name :
FirstLast
Business Name :
Address :
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Email :
Business Phone :
Cell Phone :
Website :
Please complete the below :
You may also call 6* Media with your card information.
Name as appears on Card :
Card Number :
Expiration Date :
Security Code :
Credit Card Billing Address if different than above :
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Todays Date :
CREDIT CARD AUTHORIZATION SIGNATURE ~ PLEASE TYPE NAME BELOW
MY TYPED SIGNATURE ABOVE INDICATES MY WRITTEN CONSENT FOR MICHELLE CORR / 6 DEGREES MEDIA TO CHARGE MY CREDIT CARD FOR THE PURCHASE TOTAL LISTED ABOVE.
File Upload
Please attach any files or documents.
Captcha

© Michelle Corr ~ 6 Degrees Media 2012.