Banner Ad Order Form

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Thank you for the confidence you have in The Fastrac Antique Tractor Commercial Advertising Program. Please fill out the following information so that we may able to process your order.

Name:

Company:

Address:

City:

State:

Postal:

Phone:

Fax:

E-Mail:

HomePage:

Select one of the following options: Banner Ad - $20 Setup/$20 mo
Web Presence - $75 Setup Chg
Both options listed above I will be sending you my banner image in the following manner.

The image file format is:

I will need you to design my banner ($25 per banner). How can I get you my request?

Comments:

Thanks for your order....We'll process your order within 12 - 24 hours.

Payment Options:
    Pay On-Line:
            Banner Ad Setup & ($20 total)...............................
            Banner Ad 1st Month's Fee ($20 Monthly).............
            Web Presence one time setup charge ($75 total).....
            Banner Design 1 time Charge ($25 total).................

If not paying On-Line you will be invoiced for the charges by regular mail after work is completed.
Note: If paying on-line return here to add charges to cart after submitting your work order.