Herstmonceux Castle, 29-31 August 2009

Website Advertising Form

Website Advertising Order Form

Note: All items with an asterisk * are required.

Please do not complete the form using capital letters

This order is processed on a secure server. We don't automatically debit your credit card when you send this request. Our operators check it for accuracy first. This avoids incorrect orders that require refunds.

* First Name	Initial *Title Mr Mrs Ms Miss Dr Capt Prof
* Last Name
Job Title
Company Name
*Address
Address
Address
* City/Town
* County, State or Prov.
* Postal Code / Zip
Country
Office Phone
* Home Phone
Mobile Phone
Office Fax
* Email Address
Web Site

I would like to apply for the following website advertising package;

Jester Package - Name and contact telephone number - FREE

Squires Package - Name, contact telephone number, email address. Distance to Herstmonceux Castle. A sentence about what the business does (no more than 20 words) - £20.00

Knights Package - Name, contact telephone number, email address, website address. Photo, logo or map. Distance to Herstmonceux Castle. Information about what the business does (no more than 100 words) - £30.00

(Please email us a photo or logo to info@mgel.com)

For payment please provide either you credit card or debit card details:

Credit Card or Switch Number
Credit Card or Debit Card Type	VISA Master Card American Express Switch
Card Valid From Date (if paying by Switch)
Card Expires Date (all cards)
Card Issue Number (if paying by Switch)
Issuing Bank (all cards)
Amount I want deducted from my card
Cardholder's Name and Initials as they appear on the card
CVV2*:

*CVV2 is a 3-digit value at the end of your account number printed on the back of your credit card.

On American Express cards, CVV2 number consists of 3-4 digits located on the front of the card.

Put me on your mailing list.

* How did you hear about the Festival? A friend Flyer Mini Card Web site Poster Radio Repeat customer Road sign TV Postcard Newspaper Magnet Friday Ad Other or some other way? Please specify.

Any comments or requests?