BannerExpressions.com - Design Request Form

1 Banner: $59 (base price)
2 Banners: $49 each ($98 total)
3 Banners: $49 each ($147 total)
4 Banners: $45 each ($180 total)
5 Banners: $45 each ($225 total)
6 or more Banners: $40 each

     1. Submit this Design Request Form to detail your needs.
     2. Your order will be confirmed within 24 hours (except during major holidays).
     3. Your banners will be designed, then revised if necessary.
     4. Once satisifed with the designs, pay for the banners via secure payment server.
     5. Upon receipt of payment, your banners will be emailed to you.

	Include as much information as possible.
Your Email Address:
Your Name:
Company:	(if applicable)
Website URL:	(specify if you don't have a website yet)

	Request Individual Banners (check ALL that apply):
Quantity:	468 x 60 pixels (Full Banner)	Static Animated
	728 x 90 pixels (Leaderboard)	Static Animated
	770 x 150 pixels (Page Top Banner)	Static Animated
	300 x 250 pixels (Medium Rectangle)	Static Animated
	180 x 150 pixels (Rectangle)	Static Animated
	160 x 600 pixels (Wide Skyscraper)	Static Animated
	120 x 600 pixels (Skyscraper)	Static Animated
	120 x 240 pixels (Vertical Banner)	Static Animated
	120 x 90 pixels (Button 1)	Static Animated
	120 x 60 pixels (Button 2)	Static Animated
	88 x 31 pixels (Microbutton)	Static Animated
Custom Sizes (specify sizes & quantities):
Further Detailed Instructions:

Need to start over?

	. . . or Request a Banner Package below:
	Essential Ad Pack - Only $125	Universall Ad Pack - Only $150
	Includes 1 of Each Banner (STATIC Only) Page Top Banner (770 x 150 pixels) Full Banner (468 x 60 pixels) Button 2 (120 x 60 pixels)	Includes 1 of Each Banner (Animated) Leaderboard Banner (728 x 90 pixels) Medium Rectangle (300 x 250 pixels) Rectangle (180 x 150 pixels) Wide Skyscraper (160 x 600 pixels)
	Detail Your Needs:
Question 1:	What products/services does your website offer?


Question 2:	Who is your target audience?


Question 3:	What message or feelings do you want to convey with your banners?


Question 4:	Specify any slogans and/or wording you have in mind (if any).


Question 5:	Do you have any current logos or image files to use for your banners?
	No Yes - (You'll be instructed on where to email the files upon submitting this form)

Due Date:	1-2 weeks - NO RUSH Within 1 Week - STANDARD Within 72 hours RUSH JOB (up to 4 banners only)


	You will receive an email response within 24 hours to confirm the order.