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VN Game Den - Ads

This is the official VN Game Den advertisement form! 

Fill out this form with as much detail as possible so we can understand the advertisement you want to run on VN Game Den.

Note, our advertisements will appear below every article throughout their duration, and it costs $150/month for the advertisement.

There are 5 questions in this survey.
(This question is mandatory)
What is your name?
(This question is mandatory)
What is your email?
(This question is mandatory)
What is the start and end date for the ad you want to run?
(This question is mandatory)
Please provide a link to the banner you want as the advertisement. 
The banner should be 620x150
(This question is mandatory)
Please elaborate on details about this ad.