Back to the top of the United States Index
Back to the Feedback and Support Index
Advertising General Information
Advertising Link Information
Advertising Link Form
Advertising Link Fax Form
Sponsorship Information
Sponsor Fax Form


Sponsorship Form

Note that this form will handle up to three sponsorship submissions.

Should you choose, or need to, use our fax form which will handle any number of transactions.

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 Sponsored Web Page Information #1
City:
State:
URL:
Page Position:

I am sending my graphics option as an attachment in separate email.
Use your best judgement with a graphics choice from the above web page.

I understand that if I send a full-sized banner there can be no text.


Sponsorship Text #1 (20 words recommended, include company name):




Your Sponsored Web Page Information #2
City:
State:
URL:
Page Position:

I am sending my graphics option as an attachment in separate email.
Use your best judgement with a graphics choice from the above web page.

I understand that if I send a full-sized banner there can be no text.


Sponsorship Text #2 (20 words recommended, include company name):




Your Sponsored Web Page Information #3
City:
State:
URL:
Page Position:

I am sending my graphics option as an attachment in separate email.
Use your best judgement with a graphics choice from the above web page.

I understand that if I send a full-sized banner there can be no text.


Sponsorship Text #3 (20 words recommended, include company name):


Comments And Requests:




Thank You!
Top Of Page

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