Registration
Billing Information
Company Name
Full Name
Email Address
Payment Method
Billing Address (Include Zipcode, City, State)
Business or Home Phone with Ext #
Other phone #
Fax Number
Bank Wire/Transfer.
AMOUNT of PURCHASE
LETTER OF AUTHORIZATION*** I GIVE CYOUONTOP.COM PERMISSION TO USE INFORMATION I HAVE PROVIDED, PLUS TEXT, GRAPHICS, PICTURES, VIDEOS ETC. I HAVE SUPPLIED OR ON MY WEB SITE FOR THE PURPOSE OF VSEO PROMOTION AND PRODUCING MY VIDEO. ENTERING MY FULL NAME IN THE BOX BELOW IS MY RECORDED ELECTRONIC SIGNATURE.
*Full Name Required to Acknowledge you read the Above
Pay by Credit Card
Type of Credit Card
Credit Card Number
Expiration Date
Security Code on Card(back)
Search Engine Ads and Slideshow/Videos Information
Full Name To Appear On Ad
Company Name to Appear on Ad
Business Phone To Appear On Ad
Complete Address To Appear on Ad (Please include Zipcode, City and State
Website URL (If applicable)
Contract with keyword guidlines
Pictures, Clips, and Logos For My Ad
I will send my pictures, clips, and logos
Please use pictures, clips, and logos on my website
Please use pictures, clips, and logos from your library
Pictures
Pictures
Pictures
Video Clips
Video Clips
Logo
Logo
Audio/Voice-overs
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