Acceptance Order Already A Member? Please Login Here... Product Information Name/Description Qty Amount 100 Top-Tier Clicks You are ordering 100 Top-Tier Only Clicks! Please fill out the form below, and our team will jump into action immediately. 1 $107.00 Coupon Code: Total: $107.00 Customer Information * First Name * Last Name * Email *You will use this as your login username. * Enter a Password %%PASSWORD%% * Repeat Password %%CONFIRMPASSWORD%% Please enter the same value again. Billing Information * Billing First Name * Billing Last Name * Address Address2 * Country * State/Province Select state * City * Zip Code Ship to a different address? Shipping Information Shipping Address not the same as Billing Address * First Name * Last Name Address Address2 Country State/Province Select state * City * Zip Code Additional Information Company Enter Phone Number Fax How did you hear about us? Comments Terms & Conditions Once payment has been made, our team jumps into action. We cannot offer refunds on any advertising package. Payment will appear on your credit statement as Kit Elliott's Media / The Click Agency. Please write this down. Click here to accept these terms and agree to pay the following amount. If the system asks for a password, then please use: click8290 as your password. I accept Terms & Conditions Payment Information Pay with Credit Card * Credit Card Type Visa MasterCard Discover American Express * Card Number * Expiration Date Month010203040506070809101112Year2017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077 * Card Code OR It takes 30 to 45 seconds to create your account. If you encounter any difficulties with your order, please contact our support staff.