CAMPAIGN ORDER FORM

To order your campaign across our network please complete the form below. Our campaign managers will be in touch with you to complete your order and collect all creative materials and tracking account information. Generally campaigns can be launched within 30 days of order depending on current activity. Please note that all form fields are required to be completed.

CONTACT INFORMATION

Title Mr Mrs Miss First Name Last Name Your Position in the Company Company Name Address City State/County Post Code Country Tax ID Email Telephone Skype Name

BRAND INFORMATION

Brand Name Website URL

CAMPAIGN INFORMATION

Listing Placement (5,000 setup + 2,000 annual renewal) Yes (Default Option) Weekly Newsletter (3,000 for 3 promotional inclusions) Yes No Solo Promotional Mail Drops (4,000 per mail drop) Yes No Monthly Side Bar Solo Featured Casino (3,000 per mail drop) Yes No Monthly Top Of Page Featured Casinos (3,000 one of 3) Yes No Referred By Select Google Search Existing Client Press Release Industry News Online Ad Magazine Article Other Target Launch Date Message Code Try a different image