Secure Online Order Form

Contact Name (First & Last)
Real Email Address (For Contact Purposes)
Additional Email Address (That you want Promotional emails to go to)
Check here if you do not want Promotional emails (Submission will generate several hundred)
   
Site Title
URL/Web Address
Photo/Graphic URL (For Classifieds only)
Item (For Classifieds only - What you are selling/looking for)
Price (For Classifieds only - What you are charging)
Type of Site (What kind of site do you have?)
Headline (Classifieds only)
Site Description (Search Engine) or Ad Text (Classifieds) 25 Words or 255 Characters
Company Name
Street or PO Box Address
City
State
Zip/Postal Code
Country
Area Code & Phone #
Fax #
Keywords (Choose up to 15 for Search Engines or Classifieds)
Banner Location:
BANNER SPECIFICATIONS: 468X60 .GIF OR .JPG. NOT TO EXCEED 18K IN SIZE
Banner Ad Category
Comments
Services (Use CTRL to select more than one. All services are in US $.
How did you hear of us?
Payment
 

If you want to pay with PayPal, please go to PayPal and click on Send Money and send to info@classichits.com, or ask us to send you a PayPal invoice.

 

Note: This is a secured site. Your personal information will remain confidential. We will contact you by phone for payment information, or you may fax to: 253-322-5778.

Check here if you would like a submission report
   
Check here if you have read the FAQ (Frequently Asked Questions)
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Please click submit only once. Thank you for your order!
 

We accept Checks, Bank Wire, PayPal, Visa, Mastercard, Discover/Novus, & American Express.

Please contact us for Bank Wire info.
We Accept Major Credit Cards
All orders need to be paid in advance or at time of order.
International Orders take 2-7 days to complete.
Checks will be held until they clear, or funds will be verified before your order is processed.
For protection - Your IP address is being logged.
 

Ackley's Custom Site Submission (ACSS)

28128 28th Ave S
Federal Way, WA 98003
(800) 969-9598 (Toll Free)
(623) 587-9499 or (253) 941-3863 (Voice)
Inquiries: info@classichits.com
Payment Processing by ICVerify  VeriSign Security  Privacy Guaranteed PayPal - Click to Verify Account Standing

Inquiries: info@classichits.com
All Rights Reserved  -   Ackley's Custom Site Submission
Web Site Designed by: Carla Ackley