Your Name / Username:
(Not A Member Place x23 before users name)
Must be filled otherwise order form will not submit
Your Email:
Ensure Address is valid and can accept our confirmation mails
Must be filled otherwise order form will not submit
Payment Method
--- Select Payment Type --- PayPal Serve
Transaction ID / Batch Number:
Must be filled otherwise order form will not submit
Ad #1 ( --Affiliate Page Banners / Affiliate Top ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #2 ( --Affiliate Page Banners / Affiliate Top ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #3 ( --Affiliate Page Banners / Affiliate Top ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #4 ( --Affiliate Page Banners / Affiliate Bottom ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #5 ( --Affiliate Page Banners / Affiliate Bottom ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #6 ( --Affiliate Page Banners / Affiliate Bottom ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #7 ( --Affiliate Page Side Links / Affiliate Side Link #1 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #8 ( --Affiliate Page Side Links / Affiliate Side Link #2 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #9 ( --Affiliate Page Side Links / Affiliate Side Link #3 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #10 ( --Affiliate Page Side Links / Affiliate Side Link #4 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #11 ( --Affiliate Page Side Links / Affiliate Side Link #5 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #12 ( --Affiliate Page Side Links / Affiliate Side Link #6 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #13 ( --Affiliate Page Side Links / Affiliate Side Link #7 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #14 ( --Affiliate Page Side Links / Affiliate Side Link #8 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #15 ( --Affiliate Page Side Links / Affiliate Side Link #9 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #16 ( --Affiliate Page Side Links / Affiliate Side Link #10 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #17 ( --Affiliate Page PTC / Affiliate PTC #2 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #18 ( --Affiliate Page PTC / Affiliate PTC #3 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #19 ( --Affiliate Page PTC / Affiliate PTC #4 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #20 ( --Affiliate Page PTC / Affiliate PTC #5 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Ad #21 ( --Affiliate Page PTC / Affiliate PTC #1 ):
Your Comments & Notes:
Not a 'required' field - only use if you need to convey message to Admin
Ad Description:
No URLs and please keep as short as possible
Must be filled otherwise order form will not submit
Paid-Link URL:
Must include 'http://' - make sure no extra spaces or characters
Must be filled otherwise order form will not submit
Banner URL:
Must start with 'http://' - no other text or code and must be a valid link. Banner Links MUST be proper image file extensions (i.e. .gif, .jpg, .png, .bmp or .jpeg) - NO Dynamic/Scripted Banners with .php file extentions. Photobucket images MUST include letter 'o' between 'http://' and first part of URL (i.e. http://oi86)
Must be filled otherwise order form will not submit
Check this box if you have submitted this form truthfully, and you have made the payment for the advertisement.