Print this form, then submit it.
Company Name: ________________________________________________________________
Contact: ______________________________________________________________________
Address: ______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
E-Mail Address: ________________________________________________________________
Main web page: ________________________________________________________________
Phone Number: ____________________________ FAX: _______________________________
Contract type and term. Check one:
[__] - Three (3) month, 50,000 page views per month: $500 USD per 3 months.
[__] - Six (6) months, 50,000 page views per month: $1000 USD per 6 months.
Contract type and term. Check one:
[__] - Three (3) month, 50,000 page views: $250 USD per 3 months.
[__] - Six (6) months, 50,000 page views: $500 USD per 6 months.
Contract type and term. Check one:
[__] - Three (3) month, > 50,000 page views: $250 USD per 3 months.
[__] - Six (6) months, > 50,000 page views: $500 USD per 3 months.
For all advertisements, full prepayment is required. Payments are accepted by check or money order (in U.S. funds only), or PayPal (Paypal accepts a variety of payments methods, including VISA, Mastercard and others).
Payment type:
[__] - Check or money order in U.S. funds is enclosed.
[__] - PAYPAL: For payments by PayPal, please click an appropriate button below.
BILLBOARDS: 50,000 page views. TERM: 3 months ($500 USD/3 months): BILLBOARDS: 50,000 page views per month. TERM: 6 months ($1000 USD/3 months): BUTTONS: 50,000 page views. TERM: 3 months ($250 USD/3 months): BUTTONS: 50,000 page views per month. TERM: 6 months ($500 USD/3 months):
BANNER: > 50,000 page views. TERM: 3 months ($250 USD/3 months):
BANNER: > 50,000 page views per month. TERM: 6 months ($500 USD/3 months):
I have submitted up to four (4) appropriate graphic images meeting the above requirements via e-mail to admin@Spacew.Com. The URL that should be linked with these graphic images (pointing to the product or service being advertised) is:
URL: __________________________________________________________________________
By submitting payment, I acknowledge that I have read, understood and agree to the Terms and Conditions and that I have the authority to make contractual obligations and payments on behalf of the company(ies)/agency(ies) I represent. I further understand that the fees paid cannot be refunded for any reason after the advertising campaign has commenced. I understand I will receive an e-mail indicating when the advertising campaign containing my advertisement commences. The minimum duration of the campaign is dictated by the duration of the contract term, not the number of page views. If an insufficient number of page views occurs during the term, the contract term will be automatically extended (at no charge) by another consecutive month until the minimum number of page views paid for is achieved. If an advertising campaign is full (that is, if there are no advertising spots left during a campaign), your advertisement will be held in the queue on a first-come, first-served basis and you will be notified of the estimated date when your campaign will commence.
Questions, comments or concerns should be directed to: admin@spacew.com.
Please postal mail a copy of this form to the following address:
Solar Terrestrial Dispatch
Attn: Advertising Dept.
P.O. Box 40
Stirling, Alberta
T0K 2E0
Canada
Printed Name of Signator: _____________________________________________________________
Signature of Signator: ________________________________________________________________
Date of Signature: ___________________________________________________________________