Please note: We reserve the right to submit all Fraudulent Orders and those orders that result in chargebacks without first trying to resolve the issue through our offices, to an industry related blacklist database accessed by over 200 advertising providers. The information stored within this database is a type of credit rating system that warns other networks of negative actions. If your company appears in this database, you may have trouble purchasing any further advertising products for your business.


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1. Your E-mail *
2. Your Name *
3. Your Phone Number * Must be your correct phone number to avoid your order from being cancelled. This is to verify your order to make sure it is not fraudulent.
4. Website address to advertise *
5. Choose the targeting category that best describes your website. *
6. If you purchased a USA Targeted Visitor campaign please choose the area of the country you would like to target *
7. What hours should your campaign be advertised? If specifying the hours to advertise your website, please use this format, For example: 8am - 6pm Central Time.
8. 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   
Referred by Gerard School or Studio2000   
Referred by Julian Angel - Bellamoon Accessories   
Referred by Christopher Plant   
Contacted by a Sales Associate   
Referred by John ORyan - TrafficMan.us   
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   
9. Enter the City where you are currently placing the order from * To prevent fraudulent orders, we verify the city your order was placed in with the credit card company's database
10. Enter the State where you are currently placing the order from * To prevent fraudulent orders, we verify the state your order was placed in with the credit card company's database
11. If you purchased a Text Ad Package, please put your title, description and keywords in the space to the right.
12. If you purchased a Banner design, please indicate the banner size: For example, 468 width by 60 height, 728 width by 90 height.
Comments or coupon code If you ordered a banner or logo design, please tell us what you would like your banner/logo to look like.