Contractor Info *Contractor Name: Phone Number: *Email Address: Advertiser Info *Advertiser Name: *Phone Number: EXT.: *Name of Contact: Title: Address, City, State, Zip: *Email Address: Production Info Answers the following questions regarding this project. Has B2B worked on projects for your client before? No Yes Are we doing a Redesign? No Yes Is this Order Online? No Yes Does advertiser have Ad agency or In-house Designers? No Yes Is this a 5% discount job? No Yes How Many Pages will this site be? Will this site host with Thomas Register? No Yes Will this site host with B2B? No Yes Are you interested in Quarterly Search Engine Evaluations? No Yes If site is not host with B2B or Thomas Register, please provide the following FTP information. URL Address: Log-in Name ( Or IP Address): User Name: Password: Attach file required for the job: (If there is more than one file you may zip multiple files first and attach to form or email files to: admin2@b2bdd.com) Notes *Some fields are required to submit this form. B2B now accepts Visa, Master Card and American Express