ADVERTISEMENT ORDER FORM
PLEASE FILL OUT THIS FORM
COMPLETELY
SECTIONS MARKED WITH A * ARE
OPTIONAL
|
| MAIN SECTION |
| Your Name: |
|
| Company Name: |
|
| Company Address: |
|
| Company Address (2): |
* |
| City, State: |
, |
| Zip: (+4 okay too) |
|
Billing Address:
(If different than above) |
* |
| AD SECTION |
| The above information (except for an
alternate billing address) will appear in the first
part of the advertisement. The "your name"
-- is optional (see next question.) |
| Your Name Appears in Ad? |
Yes No |
| Phone #1: |
|
| Phone #2: |
* |
| Phone #3: |
* |
| Phone #4: |
* |
| Fax: |
* |
| Email: |
* |
| Web Site: |
* |
| |
AD
COPY
Please
enter the text that you would like to appear under
the above information. Normally you would list the
products and/or services that your company offers.
Sales pitches, slogans, offers welcome,
but please keep the information to around 25 words or
less. |
| Enter your ad here: |
|
| OPTIONS |
The following options may be applied to
your ad to enhance its appearance.
Please check the options you wish to add. |
Option
1:
Spinning GN
Logo |
 PRICE: $5.00
COMMENT: WOW, TALK
ABOUT EYE GRABBING!
ORDER |
| |
Option
2:
Company Name
Plus |
PRICE:
$5.00 [SAMPLE IMAGE]
COMMENT: Enhances
your company name by adding underlining, boldface and
font size increase! Wow, what a bargain for that
combo.
ORDER |
| |
Option
3:
Turbo-orange
ad |
PRICE:
$5.00 [SAMPLE IMAGE]
COMMENT: Enhances
your entire ad by making the text color "power-6
orange." Standard ads are just white. Will not
place next to other orange ads when possible.
ORDER |
| |
Option
4:
Description
glow |
PRICE:
$5.00 [SAMPLE IMAGE]
COMMENT: Sets your
description text (ad copy) out from the rest of the
text. Attracts attention to your products/features.
Text outline color dependent on the other options.
ORDER |
| |
| Super-Value Package |
PRICE:
$17.00
COMMENT: GET THEM ALL
AND SAVE!
Major impact at the best value!
ORDER |
| |
| Check
here if you qualify: |
Yes,
I am ordering on or before Nov. 24, 1998,
take
$5.00 OFF my order! |
| ORDER TOTAL |
| TOTAL: |
$(Please add up your order total and
enter it here.) |
| |
| Please check: |
I agree to
pay the above dollar amount.
(A Net-15 invoice will arrive within about a
week.) |
| |
PLEASE MAKE SURE ALL OF THE ABOVE
INFORMATION IS CORRECT AND THEN PRESS THE SUBMIT
BUTTON BELOW.
|
|
|
