Banner Ads Order Form
Secure Form (encrypted data transmission)

For credit card orders. To have your banner plus site description placed on these applicable pages on the Futuresweb website and hot-linked to your site for one year, fill in the below information and click the "submit" button.

We can download your banner (or you may mail it). File must be in "GIF" or "JPEG" format and cannot exceed 468 x 60 pixels and 12kb. If we can download it, please give the complete location (URL) where your banner is located. Please send as much information as possible. The fields in Bold Type are particularly important in case we need to contact you, for example; if we are unable to download your banner.

 
Your name:
Address:
City:
State:
Country:
Zip:
Your email:
Phone (day):
Phone (eve):
 
Site name:
Site URL:
Banner location:
example: "http://www.yoursite.com/images/yourbanner.gif"
 
Please select "applicable" pages to place your linked banner (we will
place banner and description at each):
 
Category:
 
Site description, 30 words or less:
Comments or additional advertising request:

Credit Card information
All information in BOLD type must be completed or your order cannot be
processed. It takes up to 24 hours to check your site, and process an
order. You will be notified when your banner is up and a receipt emailed.
 
Payment:
I would like my banner displayed at the locations selected above for 1 year.
Please use the information provided below, to charge my credit card.
 
Card type:
Amount:
Card Number:
Name on card:
Expiration date:
 
Click on the submit button below to send your order.
 
 
Email: