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Order Banner Ads

Use the form below to place your order for Banner Ad Pages on #1 Motor Mart.

Click here if you prefer a printable form. Use your browser's print function to print the form, and then mail it to us along with your payment. (You may wish to save the file to your system and then use your word processor or text editor to complete and print it.)

* = Required Field SECTION I YOUR INFO
* Your Name:
Company Name:
* Street Address:
* City, State, Zip (Country if not USA):
Phone:
* E-mail Address: (If none, use phone #.)
* Password:
* Password Reminder Sentence:

SECTION II BANNER INFO

On which pages of #1 Motor Mart do you wish your banner to appear? Any page where you see our banner

is currently available.

* Banner Ad Page 1:
Banner Ad Page 2:
Banner Ad Page 3:
Banner Ad Page 4 (FREE):

* How do we get your banner? You may retrieve my banner at (URL): I will send my banner as an e-mail attachment. I will send my banner on disk by "snail mail." I am having a banner made and will send it later. Please make a simple banner for me as follows: Description of Banner (Wording, Colors, etc.):

SECTION III FINANCIAL INFO

* What is the term of this order?: Yearly Home Page ($250/Year); Yearly Other than Home Page ($100/Year); Monthly Home Page ($25/Month); Monthly Other than Home Page ($10/Month)

If monthly, how many months?

* I am remitting payment in the amound of (US$)

* My payment will be sent by

: I will submit payment through Paypal.; I will send my payment by "snail mail."; No payment is required.; I will remit payment by a differnt method as follows:

Send a "Paid Invoice" upon receipt of my payment.

Once you complete and submit this form, you will be taken to the Payment Options Page.

SECTION IV ADDITIONAL INFO
*	I have read, understand and agree to the Terms and Conditions stated on the Policies & Legal Stuff page.

Additional Comments or Special Instructions:

Please tell us how or where you found our site?

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