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1. Email Address *
2. Your Name *
3. Your Phone Number *
4. Website address *
5. Target channel for your website * To select more than 1 channel, hold down the Ctrl button on your keyboard while selecting the channels.
6. Which country do you want your website to be shown in? * If other, please list the country in the Comments box. To select more than 1 country, hold down the Ctrl button on your keyboard while selecting the countries.
7. Would you like us to come up with a keyword and competitor url list for you? (They will be sent to you for approval before your advertising campaign starts. Please allow up to 1 business day) * If no, please fill out the keyword and/or url boxes below
8. Please list as many keywords that describe your website Please enter one keyword per line.
9. Please list as many competitor urls that your potential customers may visit Please enter one competitor website url per line.
10. How did you find us? * Clicked on banner ad (please specify where in your comments)   
Ads by iTotalFind   
Yahoo   
Email Advertisement   
Bing   
Ordered from Search Engine Ad: http://www.trafficexcess.com/Traffic.html   
7Search   
Referred by Julian Angel - Bellamoon Accessories   
Clicked on Creative Ad: http://www.trafficexcess.com/trafficadyes.html   
Contacted by a Sales Associate   
Clicked on Creative Ad: http://www.trafficexcess.com/temail.html   
Google   
Recommended by a Friend   
I have ordered advertising from Traffic Excess before   
If Other, please tell us where you found TrafficExcess.com in your comments   
11. If your advertising campaign comes with a Free Email Campaign, please enter your email subject title and email ad here.
12. Would you like to advertise your website 24 hours a day? * If no, please enter start time and stop time in the comments box. For example 7am Central Time to 5pm Central Time
Comments or coupon code