AntiqueCollector.uk.com - Advertisement Order Form Thank you for choosing to advertise with us. Please complete this online form and print it out before sending it with your cheque payment. Otherwise, click Send My Details Now at the bottom of the form and pay by PayPal. Once payment has been received, I will send you an E-mail with the URL of your new ad. Please note that the following information is required for billing purposes or online help only and is never shared with any third party. Our Privacy Promise can be found here. Contact Name:   Business Name:   Your Full Address:             "   Post Code:   Telphone:   E-mail address:   My Options:   Select From Menu Banner 468x60 Banner 234x60 How Long? 468 3M £30 468 6M £60 468 9M £90 468 12M £100 234 3M £18 234 6M £36 234 9M £54 234 12M £60 Full Year Cheque Value 468 = £10.00 a month 468 = £100.00 a year 234 = £6.00 a month 234 = £60.00 a year Paid by PayPal Chosen Category page:   Your website URL:   Optional: Please describe your site briefly to help us prepare your write up. About your banner:   Your Ad Creative Image Menu I Need Help With - 468x60 I Need Help With - 234x60 I'm Sending You My Own Please Contact Me And finally:  Would you like your receipt?   By E-mail By Post Not Required!                   It only remains for you to     and write your cheque. Cheques should be made payable to: Mr P Chave, and sent to: Antique Collector.uk.com, The Haven, Street End Lane, Blagdon, Bristol, UK. BS40 7TW. For telephone enquiries, please call: 01761 462722. To pay by PAYPAL please use these links to be directed to a secure payment page: Click here to order your 468x60 ad space. Click here to order your 234x60 ad space. Click here to order your Monthly ad space. Send your banners by or on a floppy disc with your order. Or alternatively, just me the location URL of your banner, so I can go and get a copy. Thank you for your order. President of Antique Collector.