Advertising Order
Please enter your order below and press the Place Ad Order button. You also have the option of paying by check. Scroll to the bottom of the form for instructions on paying by check
Username:
Password:
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State: Other:
Zip:
Country:
Phone Number:
Email Address:
Credit Card:
Credit Card Nbr:
Persons Name on Card:
Expiration MM: YY:
Target:Run of Web Site
CPM Rate:$10.00
Impressions Purchased: 20,000
Order Amount: $200.00

Order by Check

Please complete and print the form above and mail to the following address.

Internet Holdings, L.L.C.
9400 McKnight RD.
Suite 203
Pittsburgh, Pa. 15237

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