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www.ShopMillionPixels.com  dba Great Expectation

Mail or Fax Order Form

Ad Description and Position

All image ad  sizes must be exactly 88 pixels (W) x 31 pixels (H) Resolution 72                           Please Fill in row and column info below

 Cost Per Year TOTAL

 Mall Level_1 Top - Magenta

     

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   $300.  

Mall Level_1 Middle - Cyan

 

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  $250.  

     Mall Level_1 Bottom - Yellow

 

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 $200.   

 Mall Level_2 Top - Magenta

 

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 $150.   

 Mall Level_2 Middle - Cyan

 

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 $100.  

      Mall Level_2 Bottom - Yellow

 

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 $75.  

TOTAL AMOUNT DUE

 
  Please note: Yearly ad renewals can be made by calling 203-685-5255 one month in advance.

You (paid advertiser) agrees upon any payments to us he has read and agrees and accepts all our Advertisers Terms and Conditions at our website:

http://www.shopmillionpixels.com/Advertisers_Terms.html

Make any check payment to Great Expectation and mail this form  to: Great Expectation

1140 Main Street Branford, Ct 06405

Please include the following information below.

Business Owners Name:

Business Name:

Contact Telephone:                                         Contact Email:        

If paying by credit card fill in additional information below and fax to: 203-483-0700.

Please note that your credit card will show a charge from:  Great Expectation

Bill  Name:

Bill Address:

Bill City/State/Zip:

Bill Telephone:

Visa [  ]     MasterCard [  ]      Discover [  ]     American Express [  ]     (Only in U.S.) Pay Pal™[  ]

Credit Card #:                                                               Card CVV number:

Exp. Date (MM/YY):

Please Print Name As Shown On Card:

If Pay Pal™ (Only in U.S.) Payment is preferred, check Pay Pal™ box leave credit card number blank and mail or fax form and we will send you a link to pay after we receive this form.

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