MONEY! Dealersite B2B Super Mall Online Orderform..

MONEY! B2B Super Mall Online Orderform

Easy, Step-by-Step ordering instructions...

1.	Please select the services you wish to purchase. Check the boxes next to the items you wish to purchase. Please Note that if you are Placing a Banner or Thumbnail Ad, After we Process your Order, you can Send it to us as an Attachment, and We Will Post it within One Working Day!

Item	Description	Price
Full Size Banner Ad	Displayed One Year, Category of Your Choice	$50.00
Full Size Banner Ad	Displayed Three Years, Category of Your Choice	$110.00
Thumbnail Image	Displayed One Year, Category of Your Choice	$35.00
Thumbnail Image	Displayed Three Years, Category of Your Choice	$75.00
100 Word Text Ad	Displayed One Year, Category of Your Choice	$ 20.00
100 Word Text Ad	Displayed Three Years, Category of Your Choice	$50.00

2.	Please select the appropriate shipping and handling amount. Quickly select the appropriate shipping and handling amount according to the table below.

Shipping/Handling Costs	Price
Shipping & Handling Does Not Apply (Allow 1-2 Business Days)	$ 0.00

3.	Bill my credit card for these purchases.

Credit Card Number: (e.g. 1234-4321-1234-4321)
Expiration Date:	/
Card Holder's Name:

4.	What is the shipping destination? Your purchases will be sent to the following person and location.

Name:
Address:
City:
State:
Country:
Postal Code:

5.	Additional contact information. Please enter your Contact Information, Phone Number (include area code) and Email Address in case we need to clarify your order information. * If the same as shipping destination, then please just fill in the "Phone Number" and "Email Address" fields.

Name:
Address:
City:
State:
Country:
Postal Code:
[Phone Number]:
[Email Address]:

Please take a moment and fill in these helpful additional fields.
Use this section to include any special discount coupons, additional comments,and/or special instructions regarding your purchase. We Would Really Appreciate a Detailed Explanation on how you found us (e.g. - What Search Engine, What Friend, What FFA Link Page, Banners?, Newsgroups?, Discussion Groups?, Ezines?, etc., etc., etc..)

Discount Coupon Code:
Desired Mall Category?
Desired Linking URL (e.g. www.your-domain.com)
Desired Ad Copy:
Additional Comments:

Submit Your Order for Final Processing.
After reviewing all the information above to ensure it's all correct, simply hit the 'Submit' button below. Your order will be processed and shipped out within the next working day. All Orders are Final and are Only Guaranteed Against Defectiveness, unless Specifically Stated Otherwise. Thanks!