Banner Add

Application form for Revolving Blocks and Banners ...

Please provide the following contact information:

First name

Last name

Title

Organisation

Street address

Address (cont.)

City

Province

Postal code

Country

Contact Phone

FAX

E-mail

URL

On which site would you like your Advert displayed:

Pietersburg
Tzaneen
Louis Trichardt

Which Advert are you interested in ?

If 2nd or listing page Advert Please select which Category:

Business
Accommodation

Which Payment method do you preffer:

Advanced Payment (arragments to be made over phone)
Credit Card - Please complete:

Type: Credit Card No: no spaces please

Expires: MonthYear Name on Card:

If you would like to design the advert your self please use the following dimensions:

Frontpage Revolving Block - 160x90 pixels and in gif format
2nd Page Revolving Banner @ R90.00 pm - 520x80 pixels and in gif format
Listing Page Revolving Banner @ R50.00 pm 520x80 pixels and in gif format

please attach graphics to an e-mail addressed to webmaster@agora.co.za
or we can design it for you @ R200 per Advert

First name
Last name
Title
Organisation
Street address
Address (cont.)
City
Province
Postal code
Country
Contact Phone
FAX
E-mail
URL

Banner Add

Agora Internet. Last revised: February 24, 2003

Agora Internet.
Last revised: February 24, 2003