Ad2WebTracks Application for mURL(s)


Ad2WebTracks Application for mURL(s)	Date:

NOTE REGARDING RENEWAL ORDERS: Measured URLs (mURLs) automatically terminate
at the end of the test period. You must submit a new order form to renew a mURL. To
prevent disruption in click through measurement, please submit the renewal order 30
day in advance of the end of the termination date, which is noted on the monthly click
through report.

Web Site Owner Information - all fields required
Advertiser Company Name:
Is this a new test for this advertiser or renewal of a test currently in progress?:
Authorized Representative Information (CMR) - all fields required
Company Name:
Address:
City:
State:
Zip Code:
Contact Name:
Primary Phone #:
E-mail Address:
REGISTRATION INFORMATION - all fields required
Redirect clickthrough to the following URL/page: Note: Subdirectories following domain are acceptable	e.g., http://www.company.com/subdirectory/
Is the page the user will be redirected to currently active?:
Select the duration of test (months):
Is this mURL intended to measure clickthroughs for a SMARTpages/Yahoo bundled program?: Note: If Yes - Please be aware that advertisers may not request more than one mURL for tracking their SMARTpages/Yahoo! bundled program. Report will include combined click throughs from advertising on both web sites. Site click throughs will not be differentiated between SMARTpages and Yahoo! Yellow Pages advertising.
Enter up to three CMR/Client email addresses the report should be distributed to monthly:

Click here to read Terms & Conditions

By completing this online form, I acknowledge (1) that I have full authority to sign for and bind the party identified as the Web site owner or authorized representative of the Web site owner to this application and (2) that I have read and agree to all of the terms and conditions on the reverse side of this document which govern this application.

Note: ARC Research must receive authorization from SMARTpages.com prior to registering the mURL™. ARC will contact SMARTpages.com to secure the approval.

Check box to confirm agreement of terms and conditions.