Strathdon Community: Banner Application Form

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Banner Application Form within Australia only.

1. PRINT THIS FORM

2. COMPLETE ALL DETAILS IN BLOCK LETTERS

3. FAX tO: 9894 3489

DESIGN Static Banner without animation	AUD $60.00
DESIGN Animated Banner	AUD $100.00
I will email our own banner 468x60 pixels 12k file size max as a GIF or JPEG
Home Page Rotating Banner	AUD $500 per annum
Sub Page Banner	AUD $500 each per annum OR AUD $100 per month
Which Strathdon web page do you want your Sub Page Banner's placement?	http://
Multi Buy Banners 10 Sub Page Banners	AUD $2000.00
Which Strathdon web pages do you want your 10 Sub Page banner's placement?
http://	http://
http://	http://
http://	http://
http://	http://
http://	http://
Web address of banner style you like. (For our banner ad designer to emulate)	http://
Do you have a web address for your banner to be linked to?	Yes, http:// No
Are you supplying images such as logo and pictures at approx 96 dpi resolution as email attachments?	yes no
FULL PAYMENT IS REQUIRED WITH THIS APPLICATION
Payment Please charge my credit card	Bankcard Mastercard Visacard	Expiry Date: /
Signature
Name on Card
Please charge my credit card for the full amount of:	AUD $
OR
Enclosed is my cheque for the amount of: (cheques payable to Strathdon Community)	AUD $

Your Name:

Position:

Business Name:

Business Address:

Postcode:

Your email address:

Telephone number/s:

FAX CREDIT CARD PAYMENTS TO: 03 9894 3489
SEND CHEQUES TO: Strathdon Community, 17 Jolimont Road, Forest Hill Vic 3131
Keep this tax invoice as proof of payment Tax Invoice ABN 23 429 623 815