Submit Your Rock Out Censorship Banner Advertising Right Now

NOTICE!!! At this time Rock Out Censorship is not prepared to begin accepting credit card orders on-line. We hope to have this feature available soon, but for now we will have to ask you to submit your orders via check or money order. As soon as we have our merchant account status established, we will post a notice to this and all our secure ordering pages on our site that you can order by credit card. But for now, just use this form to submit your order and as soon as we receive your check or money order, your order will be processed. And please do not fill in any of the credit card related fields on this form at this time.

Reaching a targeted audience of music and freedom lovers is easy and cost effective! Simply fill out this submission form and send it to us. We will notify you via email within one business day to confirm your ad placement.


Company Name:

Your Name:


E-Mail Address:






Phone # Day: Phone # Night:


A. How are you supplying us with your banner graphic(s)?

If banner ad is located at a specific URL, then please type it below

B. Launch date that you wish to start your banner advertising campaign
(if there is no special start date set, then just type "asap")

C. URL to link banner to your site:

D. Type your 25 characters of ad text to appear below banner (optional)

To submit your banner via email: fill in this form and submit it and then attach your graphic in an email message to Make sure to include your business name and url in the body of the message.


A. Choose the amount of impressions for your banners?

B. Please confirm the total cost of the banner ad you are submitting:

C. Select a method of payment:

If you would rather mail your credit card information to us via postal mail OR if you're making payment with a check or money order, then leave the following credit card info blank and follow our "How to Make Payment via Postal Mail" instructions that follow.

D. Name on Credit Card:

E. Credit Card Account Number (####-####-####-####):

F. Credit Card Expiration Date (mm/yy):


If you have any other comments for us about your banner advertising use the box below.

Click below to submit this form. We will acknowledge your banner placement via email within one business day, along with any other important information. Banners are online within two business days of submission (or until postal payment is received). A sales invoice will be sent to you immediately after receiving payment. Thank you very much, we appreciate your business!

After submitting this form, you will be taken to another page that will show you what you sent. Please verify that this information is correct and hit your "Back" button to return to this form page. If you notice any mistakes made, then resend your order after making the necessary changes and be sure to put the words "CANCEL PREVIOUS ORDER" within the text box at the bottom of the form page before resending. If you have any problems submitting this form, please notify us at


When making payment by postal mail, please include your Business Name, your Contact Person's Name, and Contact Email Address so we know exactly which account to credit. We will mail you a sales invoice immediately upon receiving your payment. Our Mailing Address is:
Rock Out Censorship
Attn: Advertising
6709 Paul Revere Ct.
Orlando, FL 32809

Please make check/money order payable to Three Sages Productions. Rates are in U.S. funds.


Please feel free to email us with any questions or comments,

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