Advertising Banner Information Request Form

Ad Banner/Coupon Request - Email Submission Form

It's economical and easy to have an advertising banner or coupon for your business listed in the Quik-Info website and Online Classifieds. Whether we create your Ad Banner or Coupon or you do it yourself, it's easy to get things started.

Just provide the information requested in the sections below. Then submit the form to us. The form will automatically be emailed to Quik-Info and you will receive a confirmation.

Should you prefer, you may skip the use of this form and send us an email message detailing your request(s). We will contact you before any billing is completed to confirm your request(s) and your approval.

Are you interested in having Quik-Info create an Ad Banner or Coupon for your business or have you created your own for the Quik-Info websites?

Ad Banners

I request Quik-Info to create my Ad Banner. I have created my own Ad Banner.

A "static" (non-animated) banner is preferred. An "animated" type banner is preferred.

Coupons

I request Quik-Info to create my Coupons(s). # of Coupons

I have created my own Coupon(s). # of Coupons

Note: A business that has the Coupon Business Plan option can have up to 5 Coupons on their Classified Ad listing.

Section 1

Name of Business:

Address of Business:

City of Business:

Zip Code:

Phone Number: FAX Number:

Section 2

What size Ad Banner or Coupon are you interested in?

Check the Ad Banner/Coupon you are interested in having created and/or displayed in the Quik-Info websites.

120 x 60 Pixel Size

Sidebar Ad

120 x 90 Pixel Size

Sidebar Ad

120 x 120 Pixel Size

Sidebar Ad

120 x 240 Pixel Size

Sidebar Ad

468 x 68 Pixel Size Ad Banner for the Top, Middle or Bottom of the Page

300 x 100 Pixel Size. Ad Banner for the Top, Middle or Bottom of the Page.

300 x 500 Pixel Size Coupon Image.

Section 3

Preferred image Background Color #:

Preferred image Text Color #:

1	2	3	4	5	6	7	8
9	10	11	12	13	14	15	16
17	18	19	20	21	22	23	24
25 - No Color Preference

Section 4

Image(s) to include on your ad banner/coupon (if applicable) or the image file names of the ad banner(s)/coupon(s) that you have created. (.gif & .jpg files)
1-	2-	3-
4-	5-

Section 5

Where do you want the Ad Banner to be displayed (webpage name)?

A to Z Category Listing section: (From the Quik-Info website, not the Online Classifieds.)
: Quik-Info Web-Page for the Ad:; Example: http://www.quik-info.com/category_webs/b_category_list/B0230/b0230.htm

Section 6

Enter any comments in the space provided below:

Section 7

Tell us how to get in touch with you:

Contact Person............:
E-mail Address............:
Telephone....................:
FAX Number...............:

Quik-Info will use the specifications given above to develop your ad banner(s) or coupon(s) should that be your request, and then insert your ad banner into the appropriate web-page after receiving your approval.

If you have created your own ad banner(s) or coupon(s), Quik-Info will use the information provided above to insert your ad banner or coupon into your requested web-page. You may be contacted, via email, during the development process should any questions arise.

Billing for the development and designing of the banners and/or coupons and the fee to have the ad banner displayed in the Quik-Info website will be handled by regular mail. The invoice will be initiated after receiving your approval of the design/layout.

Note: All Ad Banners and Coupons are subject to approval by Quik-Info before being added to a web-page. Should an Ad Banner or Coupon request be disapproved, the business will be notified as to the reason(s) why (i.e., webpage is full, etc.).

Agree - I confirm that I have reviewed the design & development fee pricing web-page and agree to pay the fees listed for the development of the ad banner(s), if applicable, and/or for displaying the ad banner/coupon in the Quik-Info website(s) after my review and approval of the design/layout.

Decline - Check this button to decline.

Authorized by: Date:

Business Owners: Click Here for Information, Add Your Email Address, Add Your Website, Get Your Business Listed