Alberta Banner Exchange

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Banner Order Form

Contact Information

We need this information so that we may contact you if we have questions about your order. The items with an asterisk (*) are required fields.

* First Name:

* Last Name:

* Company:

* Billing Address:

* Billing Postal Code:

* e-mail:

* Phone:

Fax:

Purchase Order #:

Do you have any suggestions?

Yes - I've got strong ideas on how my banner should look.
Some - I'm looking forward to some of your advice.
No - I give you total control over the design.

Company Information

Please give us the web address (URL) for your company's Web site:

Please give us a brief description of your company and the products and/or services you offer:

Please give us the web addresses (URLs) of sites which compete with yours:

Banner Selection Process

You can receive a great discount on medium to large purchases. The discount rates are listed below.

Discount rates:
5% off on all orders over $500
10% off on all orders over $1000

Your discount will automatically be deducted after you click the continue button at the bottom of this page.

Select the size(s) and quantity of banner(s) you would like below. If you don't see a size that meets your needs, call us at 1 (403) 232-1032 or send us an e-mail with your special request.

Qty.	468x60	Full Animated Banner (11K max) $99.95 each
Qty.	234x60	Half Banner $69.95 each
Qty.	120x240	Vertical Banner $95.95 each
Qty.	125x125	Square Button $79.95 each
Qty.	120x90	Button One $69.95 each
Qty.	120x60	Button Two $59.95 each
Qty.	88x31	Micro Button $39.95 each

Logo Design

Qty.

$250 each

Quick Pick Affiliate Package

Qty.

Affiliate Starter Package $1289.00

• 3 - 468x60 Banners
• 3 - 234x60 Banners
• 3 - 120x90 Banners
• 3 - 120x60 Banners
• 3 - 125x125 Banners
• 3 - 88x31 Buttons

Special Orders are always welcome. If the banner size or special package that you'd like is not listed, call us at 1 (403) 232-1032 or send us an e-mail with your special request.

Your Audience

The primary audience you're trying to reach is:

Please enter a brief description of your customers:

The Placement of Your Banner

Briefly describe the Web sites on which your banner will run:

Please list two or three Web addresses (URLs) of sites on which your banner will appear:

The Content of Your Banner

Tell us about any general concepts or feelings that you want your banner to get across. Suggest a headline and tagline and/or a catch phrase, a company motto, or other words that you'd like to see in your banner.

Company Identity

How should we identify your company in your banner?
Use only our company logo to identify us in this banner
Use both our company logo and the following name to identify us
No need to include our company name in this banner

Company Name and Logo

Type the name (if you want to include it) of your company as you'd like it to appear in your banner.

Please list a web address (URL) where we can find your company's logo:

Please provide us with any notes or comments about how your company should be portrayed in this banner:

Concepts and Keywords

Tell us what other ideas you want to get across in your banner, though perhaps not directly and literally. Are there any keywords that describe the mood you wish to establish with your banner?

Please enter the seven letters that appear above in the following input box:

Text is entered in upper case automatically

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