Advertising Information Request Form - The Quick Action Route!


Fill in this form, indicating your request for information, and we'll send a reply to you within 2 days.


NOTE: You can also send us a Request For Quote at Danton@hotmail.com.


Advertising Information

Name: (Do not hit return)

E-Mail Address: (Do not hit return)

Company Name: (Do not hit return)

Street Address: (Do not hit return)

City: (Do not hit return) State: (Do not hit return) Country: (Do not hit return)

1) Magazines desired to advertise in:

ToyLandTM Internet Magazine
SportsWorldTM Internet Magazine
HomeImprovementWorldTM Internet Magazine
FashionWorldTM Internet Magazine
CarWorldTM Internet Magazine
GameWorldTM Internet Magazine
WebWord Home Page Or Other WebWordTM Services
Immobilien in Deutschland
Web Page Creation Or Other WebWordTM Services
LandWebTM Real Estate Advertising

2) How soon is the vendor selection?

Within 1 week
Within 1 month
Within 2 months
Within 3 months

3) How soon would you like to run an advertisement?

Within 1 week
Within 1 month
Within 2 months
Within 3 months

4) How many employees are in your company?

Less than 50
50-150
150-500
500-1000
1000-10,000
10,000-25,000
more than 30,000

5) How experienced are you in Internet?

novice
intermediate
expert

6) What is your estimated yearly budget in the kinds of services desired?

Under $1000
$1000-$10,000
$10,000-$100,000
$100,000-$1,000,000
Over $1,000,000

7)Would you like to place an advertisement immediately?

Yes
No

8)Would you like us to telephone you with information?

Yes
No

9)If we offered the ability to immediately place an advertisement while on-line, would this interest you?

Yes
No
10)Any other comments:

NOTE: Hitting "Send" will send in your form.