HomeIncome Cities 24 TOP Publications Secure Online Order Form Please fill out the form below.  When you are done, check for accuracy and be sure to click on the "Submit" button on the bottom of the form.  If your browser cannot handle forms or if you have problems with this form, e-mail us your order at order department or software department.

Please Check The Publications That You Want Your Ad(s) To Be In (Below).  Then Check the payment amount also below (found on right of form). PLEASE PUT MY AD IN ALL 24...! AdSheet Resource Magazine O/L GiftWorld Income Magazine O/L BigMail Express Magazine O/L BizSearch Magazine O/L Circular Mailers Wealth Magazine O/L Collector's ShowCase Magazine O/L Discount Advertising Resource Mag. O/L Flea Market Dealers Magazine O/L HomeMoney Magazine O/L HomeMoney Newsletter Magazine O/L Home-Income Cities Magazine O/L International Dealers ShowCase Mag.O/L INTERNET Mail Order News O/L Mail Order Drop-Shippers Magazine O/L Mail-List SourceBook Magazine O/L Mail-Order Central Magazine O/L MLM-Network Connection Magazine O/L NATIONAL Mail-Order S & P Guide O/L Self-Publishers MarketPlace Mag. O/L Shoe-String Business Magazine O/L Small-Biz Freebies Magazine O/L WholeSalers SourceBook Magazine O/L Writers & Publishers Connection Mag. World-Trader Connections Magazine O/L		Your Cost Per Each Column Inch (or banner) For 12 Months In... Yearly Rate 3 Publications (Checked at left) $20 5 Publications (Checked at left) $30 10 Publications (Checked at left) $50 15 Publications (Checked at left) $70 24 Publications $78 Please Check the payment amount also above.  Then Check The Publications That You Want Your Ad(s) To Be In (found on left of form).

Please note: All prices are for the same ad inserted in all publication choices. For multiple column inches please multiply price by # of Inches required.  All ads are equal to 35 Words or less per inch.  One (40x400 pixel)  banner is equal to one inch.    Plus… ask us about our FREE 50% Dealership  "Web-Site Kit #898-G".  Own Your Own Instant Internet Business!

Your Advertisement  Information:
Advertisement :
If your ad is a banner ad then place up to 6 search engine "keywords" here and enter the URL location of the banner. If your ad is a display/classified ad then enter up to 35 words per inch.

Other   Information:
(Do not forget to check box appropriate items above, such as price and publication(s))

Your Full Name:
Company Name:
E-mail Address (required):
Daytime Phone Number:
Address:
City:
State:
Zip:
Country:

PAYMENT INFORMATION:
Payment Method: Credit Card          Check       MoneyOrder

Important: If you wish to  send information via post office, Make payments payable to:
TargetMan Agency
P.O. Box 399, Lubec, ME. 04652 USA
and print out and mail this form with proper payment.

Fill out the credit card info below:

Credit Card Type:	VISA MASTERCARD Not By Credit Card
Name on card:
Card Number:
Card Exp. Date:	Month:--- Year:
Credit Card Authorization (type 'I AGREEand amount'):

Additional Comments:

Where Did You Hear About Us?:
Search Engines (Enter Name)
Direct Email
Our Website (Enter URL:)
Print Advertising
Other

Double check your entries above.   Then Click on the Submit Button. Please note that in order for us to process your order, your e-mail address must be valid.