Purchasing Space Form
Email Address
Name
Company Name (if applicable)
Phone Number with Areacode
How many spaces are you interested in purchasing?
(Please remember: Each space is $10.00 (ten-dollars) in USD (American funds) per 80 pixels by 15 pixels graphics...)
What is the link/URL you will be using (if applicable) with this image?
Have you thoroughly read, understood, and agree to the terms and conditions of this site? (If not,
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and please read carefully...
Yes! I agree!
No. I do not agree.
Do you have any specific questions or concerns? Do you wish to specify anything about the information above? Please briefly use the space below to let us know. (You can leave the below section blank if you wish.)
Please let me know how you'd wish to pay for your image...
I'll use PayPal
Other - Please contact me...
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Once I receive your form, I will send you out an e-mail with payment instructions (how to send payment) and upload/e-mail instructions for your image/advertisement.
Please remember that I reserve the right to decline any advertisement, image, or link.
When you have completed the above to the best of your ability, please hit "Send" below and we will reply to your form within three days. PLEASE NOTE: Only click "SEND" once and use your "Back" button to return to this page. The next page only show your answers... if it has done this, than the form has been successfully sent.
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