LaCostaMusic.com

Outrageous! Promotion

Pixel Advertising - Order Here!

Entertainment Pyramid BLOCK 24
SECURE ORDER FORM

The Full Cost to Post Your
Banner and Link
On this Block is a
One Time Charge of Only $22!!

Dimension Size Posted for this Block is 30x30 pixels
You may Post a Banner Already Sized at 30x30 pixels or
You may Use a 60x60 pixel Banner (it will be resized and Posted at 30x30 pixels)

No Hassle! Lifetime Postings Guaranteed!
(Terms and Conditions Apply)
For Full Details Please Read the Terms and Conditions.

Join the Thousands Who Are
Present and Past Patrons of

LaCostaMusic
.com


To Post Your Image and Link to Your Own Webpage:

Please Fill Out and Submit the Below Order Form...


STEP 1 of 4:
Please Enter Your Contact Information...

YOUR NAME:  


COMPANY NAME (Leave Blank if not Applicable):  

 
EMAIL ADDRESS:  


PHONE:



STREET ADDRESS OR PO BOX:  
 
CITY: 

STATE:  

ZIP CODE:  
 
COUNTRY:  

STEP 2 of 4:
Enter the URL Web Address location of your Banner:
 (.gif or .jpg files only)
Example:  http://www.mywebsite.com/images/mybanner.gif

Enter the URL Web Address of your Link's Landing Page
          (Your Home Page Web Address)

Example:  http://www.mywebsite.com

Enter the Text you want to appear when a mouse is rolled over your Banner
          (Normally a phrase describing your website, or it could be just your domain name)
 40 Characters Maximum
Example:  'The John Doe Website' or 'JohnDoeMusic.com'
Total Amount Your Credit Card will be Charged:


STEP 3 of 4:
Enter Your Credit Card Information...

Use Valid Credit Cards Only!
 (Do Not use ATM Debit Only Cards, Check Cards, etc.)
All FIELDS BELOW ARE REQUIRED TO PROCESS ORDER:
 
CREDIT CARD You Wish To Use For Payment:                                             
Name On Card:     (Type-in Your Name exactly as it appears on card)
Card Number:        (Type-in Number with NO spaces between numbers)
Credit Card Verification Value:        (3 Digit # Located After the Card # on the Back of Your Card…Amex is a 4 digit # on Front of Card)
Expiration Date:     (mmyy)   Example:  0408 would be April, 2008

Address of Credit Card Holder
… MUST INCLUDE TO VALIDATE CARD
( i.e., Address where You Receive Your Credit Card Billing Statement )

STREET ADDRESS OR PO BOX:  
 
ZIP CODE:  
Please Double Check Your Credit Card Number
( If You Enter an Incorrect Number Your Order Cannot be Processed )


STEP 4 of 4
Click on the "I AGREE...SUBMIT ORDER" button to place your order…
           By clicking on the button, you are acknowledging that you are 18 years or older,
           and have fully read, understand, and agree to the
Terms and Conditions.


    .

Please Allow The Order Submission To Fully Complete…
(This May Take Up to 2 Minutes)
When Completed A Page Will Appear Telling You
That Your Order Has Been Successfully Received.
If For Some Reason Your Submission Times Out, or You Have Other Difficulties,
Then Re-submit the Order…Your Credit Card Will Not Be Charged Twice.

Your Image and Link will be Posted
Usually Within 24 to 48 Hours!


Please Print Out a Copy of this Order Form to Keep as a Receipt.


Contact La Costa Music

The Music Business One-Stop™

Classic Retro Website



© Copyright La Costa Music All Rights Reserved