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Featured Advertisement Submission Form

Your Featured Advertisement will be similar to the example below. Everything that displays a red asterick (*) is required to be filled out. Your Advertisement should not exceed 120 pixels wide and 200 pixels high.

Your Company Name http://www.yoururl.com

Include a brief description of your website and any information about your

company, what you have to offer and anything that will help you stand out

up to 150 characters including spaces.

Only $4.00 Per Month Per Advertisement

Fill Out This Form To Signup for our Featured Advertisement Program.

* Name:

*Address:

*City:

*State/Country:

If you live in the United States only enter the State, If you live in another Country enter that Country.

*Zip Code:

*Email Address:

*Business Phone Number:

Business Fax Number:

Toll Free Number:

*Website URL:

Your Website URL should look like the following (http://www.yoursite.com).

*Request Page for Advertisement:

Add the URL of the page you are requesting your advertisement be displayed on, if no availability on this page our staff will select a page for you.

*Website Link:

This is the Website you want us to link to from your advertisement.

Custom Web Site Design & Ecommerce