Contact Information
Name:
E-Mail Address:

Company:
Member ID #: Indicate membership pending if you have not yet received your number.
Phone:

If non-member (no membership number required) please provide the following:
Internet Information
WebSite URL:
Site Type:
Banner URL:
Billing Information

If you're a new member, your first time purchase of clicks is only 25 cents - order up to 1000 clicks at this special price, and submit your order the same day as your membership application.
Number of Clicks to Purchase:
Banner is branded.
Banner is targeted.

Credit Card Type
Credit Card Number
Exp. Date

Personal or Company Checks gladly accepted. Print this page and mail with check or credit card information or fax with copy of check or credit card to

Fax:
(248) 889-7155
Mail:
Banner Co-Op.com
1050 N. Milford Rd.
Suite 204
Highland, MI 48357

 

Please allow up to 3 business days to process your order. Charges will appear on your statement as "BannerCo-op.com".

 

Now here's the legal stuff our lawyers make us put here:

All advertising is considered sold once we have placed it into your account. We are not responsible for the effectiveness of any given banner, campaign, or offer you may make. Nor are we responsible for the effectiveness of your web site, nor its ability to convert your traffic into members, subscribers, customers, or clients. We have a strict no-refund policy. Once we place this advertising into your account it will be considered fulfilled by us. You alone are the sole determining factor in the success of this or any advertising. Failure to pay for any advertising fulfilled by us may subject you to legal action in the appropriate court having jurisdiction over this matter in Oakland County Michigan. We may pursue any non-payment to the full extent of the law and will seek to recover all losses, including (but not limited to) all court costs and attorney fees when applicable.

 

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