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Advertising Link Information
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Sponsor Fax Form


Advertising Link Form

This form will handle up to three link advertisements. Note that a discount applies with two or more advertisements.

Completion of this form will send you to our Payments Page to complete this transaction. If Check/Mail (Payment Option) is selected just exit the Payments Page.

We strongly suggest printing this form out for your records.

Note that you can print out this form, fill it in and fax it to us if desired for any reason. (Fax number is at bottom of this form)

The Form

Your Account Information

Your First Name:
Your Last Name:
Your Title:
Company Name:
Email Address:
Company Address:
City:
State:
Zip Code:
Fax:
Area Code:
Phone:
Area Code:
Extension:

Date: (mmddyyyy)


Payment Option


Your Advertising Link Information #1
City:
State:
URL:
Keyword:


Text for Advertising Link #1, (up to 25 words, include company name):




Advertising Link Text Information #2
City:
State:
URL:
Keyword:


Text for Advertising Link #2, (up to 25 words, include company name):




Your Advertising Link Information #3
City:
State:
URL:
Keyword:


Text for Advertising Link #3, (up to 25 words, include company name):


Notes, Comments And Requests:


Thank You!
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    dougUSA/Global Index
    1102 East Michigan Avenue
    PO Box 921
    Albion MI 49224
    Fax: 517-629-9793