Thank you

Thank you. Your insertion orer request should be added within 24 hours. You will now be redirected back to the add page.

Insertion Order Request: Step 2 of 2

Insertion Order Request: Step 1 of 2

This form allows for easy advertisement insertion order requests. Advertising collateral CANNOT be submitted via this form. This form is for insertion order request details only. Simply fill out the form below. Be sure to fill out every field. After filling out each field, click submit. You will then be prompted to confirm your information before the information is sent to us.

Advertiser

"); echo (""); } elseif (isset($_POST[account_id])) { $account_id = $_POST[account_id]; $sql = "SELECT * FROM io_account WHERE account_id = \"".$account_id."\" LIMIT 1"; $fetch = mysql_fetch_array(mysql_query($sql)) OR die(mysql_error()); $account_name = $fetch[account_advertiser]; echo "This insertion order is being connected to advertiser: ".$account_name; echo (""); echo (""); } else { //echo ("please select the advertiser from the following drop down: "); $ad_sql = "SELECT * FROM io_account WHERE 1=1"; $ad_results = mysql_query($ad_sql) OR die(mysql_error()); echo (""); } ?>

Campaign Name

300x250

> Number of Impressions:

728x90

> Number of Impressions:

300x600

> Number of Impressions:

970x250

> Number of Impressions:

Wallpaper

> Number of Impressions:

Start Date

Repeat Date

Specify additional dates in NOTES

Notes

Signature

By signing your name here, you are agreeing to the terms of the Slowtwitch Advertising Contract for this insertion order.

Please confirm your information. If everything is correct, click the submit button. Otherwise, you may click the edit button to change your information before submitting.

Advertiser

Name

300x250

728x90

300x600

970x250

Wallpaper

Start Date

Repeat Date

Notes