|
| Your Name: |
|
| Your Email
(this is the same
email we will send an invoice
to): |
|
| Your Website
Address: |
|
| The Headline of Your
Ad: |
|
| Ad Text
(no longer than 200
words): |
|
| Ad Link:
(enter the web site
address that your ad will link
to) |
|
| Image on your web site
to use (optional - please
enter the web site address where the image
is located) No larger than
125x125: |
|
| Image should link to
what web site address? (optional): |
|
| Any
Comments? |
|
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Note: Shortly, you
will receive a confirmation email
from us. You MUST click on
the link provided within the
confirmation email. We will
then send you your
invoice. Your invoice must
be paid before we can place
your
ad.
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