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1. Email Address *
2. Your Name *
3. Your Phone Number *
4. Website address to advertise *
5. Please choose the categories you would like to target * Note: To choose more than one category, please hold down the Ctrl button on your keyboard while selecting the categories.
6. Your Email Subject Title * Maximum of 80 Characters (You can enter up to 3 Email Subject Titles, 1 per line)
7. Email Ad Text Maximum of 7500 Characters. Url is not counted as part of the characters. Please do not fill out if you have an HTML Ad Creative or ordered a 200,000 or more Email Ads campaign. To personalize your email, please use: {name} for the email subscriber's first name, {lname} for the email subscriber's last name and {state} for the email subscriber's state of residence.
8. Do you have an HTML Ad Creative? * If yes, please send it to us at: customerservice@trafficexcess.com
9. Country to target *
10. State to send your emails to: If you would like your Email Ad to go to all states in the USA, please select Did not order state targeting
11. If you ordered an Email List that you get to own, please choose the category you would like to target You will receive the email addresses so you can email them yourself.
12. 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   
Comments or coupon code