DetroitPages.Com
Ad Order Form
Home Page
Please print this order
form out, fill in the information below and send it with your payment to the
address below.
Name: _____________________________________________________
Address: ___________________________________________________
City:__________________________ St._____________Zip: _________
Telephone: _________________________________________________
Email Address: _____________________________________________
| Ad Listing |
Price Each |
Quantity |
Total Price |
| Top Banner Ad |
$1500 |
1 |
. |
| Bottom Banner Ad |
$500 |
1 |
. |
| Page Sponsor Link |
$19.95 Each |
. |
. |
| Total Order |
|
|
. |
Terms: We accept Checks, Money Orders, and Credit
cards. If payment recieved is by check then we require 10 days for the check to
clear, Once we recieve your order, average time to list your ad is usually
1 week to 10 days. Use the back of the order form to send us your website and
ad information.
Make Check or Money Order payable to:
Richard Gory Jr.
2516
Emogene
Melvindale, Michigan, 48122
Enter your credit card information below, we accept Visa, Master Card,
Discover and American Express.
Name on Card:__________________________________________________________________
Card Type:_________ Credit Card Number:_________________________________
Exp. Date:___________CID#(if applicable-Required for
discover)__________
(Note:) Card type= V-Visa, MC-Mastercard, D-Discover,
AE-American Express
CID# is the 3 digit code on back of card (Last 3 digits
in white box).