Houston Bridal Network - Advertiser Registration

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Design Center Form

Contact Info - Please fill-out completely.

First Name:
Last Name:
Email:
Phone:

Company Description
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Type of Vendor Listing Cost/Placement/Duration

Company Name:
Address:
City, State & Zip:
Website Template:
Web Address:
A Brief Description of Your Company (150 words or less) :
A Long Description of Your Company (450 words or less) :
Image :		(400x400 px Sq. Layout)

Banner Ad Information
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Banner Template:
Type of Banner Ad Cost/Placement/Duration
Banner sizes:		Top Banner ONLY 568 x 60 pixels Left Side Banner 148 x 148 pixels Left Side Banner 148 x 300 pixels Right Side Banner 120 x 120 pixels Right Side Banner 120 x 240 pixels
Banner text:
Company Logo Image: 200k

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