Asia Yellow Web - Banner Order Form

Banner Order Form

Please fill out this form thoroughly for us to process your order. Upon receiving your order, a payment confirmation and a detailed advertising contract will be sent to you via Email. An Account Manager will be assigned to you to assist you in order related matters.

Banner Order Form

Company Information :
Company Name *:
Address *:
City *:		State *:
Post/Zip Code *:		Country *:

Contact Information :
Contact Person *:		Email *:
Phone No. * :	-	Fax No. :	-

Banner Details :
1. Do You Need a Banner Design ?*
Yes ----->	Design Fee is USD 50 to USD 100 each.
No ----->	We already have a banner.
2. Type of Banner *:
3. URL of Exsting Banner :

Site Information :
Website Title *:
Website Description *:
Website URL *:

Advertsing Options :
1. Vertical Alignment :
Top Banner (Fix Place)	Bottom Banner (Random)
2. Banner Placing :
Malaysia	Singapore	China	Japan
Austrialia	Hong Kong	Taiwan	Korea

Payment Information :
1. Payment Methods *:
2. Payment terms *:

Please add any additional comments / questions




Note :
* is required field All Transactions is in US Dollar(USD).