Please print the following form and return it via fax if using paypal or via postal mail if using payment by company check, or money order. Payable to: Micro Online Services, Inc.
Fax 1-213-341-0808
Micro Online Services, Inc.
3525 Del Mar Heights Road,
#408
San Diego, CA 92130 USA
1-800-806-3210 x707 ( toll free USA)
1-213-341-0808 x707 (International)
Or fax 1-213-341-0808
Advertising Purchase Order
Company Name :__________________________________________________
Contact Person :________________________________________________
Address:________________________________________________________
City:_________________________State/Prov:_______________________
Country:_________________________Zip Code:______________________
Email: ____________________________________________
Phone:_______________________Fax:_______________________________
Destination URL to send traffic ___________________________________
Url of graphic to be used ________________________________________
All prices are in US Dollars. Please check which program you
wish to order.
__Global Clickthru Button Program 1,500 clickthrus $270 ________
__Global Clickthru Button Program 3,000 clickthrus $450 ________
__Global Impression Rotating Banner Program 40,000 views $200 __________Home or MOB Exclusive top of page banner 20,000 views
$300 ________
Url of requested page:_____________________________
__Add Deposit to Sponsor site PPC
account
________
PPC account name ______________________________
Total Enclosed $________
Comments
________________________________________________________________
________________________________________________________________
________________________________________________________________
Note: For availablity of exclusive banner positions
at specified category, or home pages of Aarens.com, Applelove.com,
Alldatinglinks.com, or A1singles.com. Please contact
info@microonlineservices.com to confirm availability before ordering.
Signature_________________________ Date _________________
Micro Online Services, Inc. copyright@2010