Take Advantage of This Great Deal!
This is a great opportunity to utilize the web for potential sales.

Simply fill out the form below and submit or
click here to download this form to your desktop.

If you download the form you will need to fax it to: 414-368-5520 upon completing.

Please call 800-223-0074 with any questions.

Basic Package — Includes:
  • Home Page — your choice of one of two pre-approved Panasonic designs
  • Additional Page of text or Product Page (Select products from Panaspec catalog)
  • Link to existing Web Site & Corporate Web Site
  • Unlimited text revisions during the year at no charge
  • Internet consultations/support (account group)
  • Consumer Feedback Form forwarded to you via e-mail/fax
  • Monthly distributor site "click through reports" via e-mail/fax
  • Toll Free 800 number Internet Client Services hotline for Free Consultation
    on Web Marketing Solutions Annual Hosting and Maintenance of site
Subtotal: $200


Additional Options — (Not covered under Co-op Plan)
Please select the following custom features that you would like to add to your web site:

Additional Text Pages

 $100 per page (1x Fee) Pages x $100 =

Online Promotions Page

 $100 per page (1x Fee) Pages x $100 =

Locator Map

 $100 per page (1x Fee) Pages x $100 =

Custom URL (Good for one year)

 $70

Total: $


Below is some of the copy that will appear on your Panasonic web page — please fill in the blanks:

At , we've been providing everything from to for over years.


1. Select web site address: www.cctv-dealer.com/

2. I have a logo available to be included on my page. I will send my company logo via email- or - mail .
I DO NOT have a logo available to be included.

3. I currently have a URL that I would like to use for this web site — please use the following:
I DO NOT currently have a URL that I would like to use for this web site.

4. Business Information:
Address:
City: State Zip
Phone Number: — —
Fax Number: — —
Email Address:
Web Address:
Contact Name:

5. I would like to use: Design 1 (Light Background)- or - Design 2 (Dark Background)

6. Payment method: Check (Payable to: TMP Directional Marketing - Attn: Panasonic Web Page Account Executive)
Payment method: Visa MasterCard American Express
 (A TMP Representative will call you for your credit card number and expiration date upon receiving request.)
Payment method: Bill Me

I authorize TMP Directional Marketing to create the web page(s) selected to my specifications.
I authorize payment for this service.
Authorizing Name: Date:

Please let us know how you would like to use your additional page. You can use it one of two ways:
1. I would like to use my additional page as an informational page about my store and/or workers.
2. I would like to use my additional page as a product page. I am entltled to 3-4 products per category (Image Capture, Processing, Transmission, Recording/Archiving, Viewing). Please provide the model numbers below from your Panaspec System Catalog. If you do not have a catalog, please contact Grace Yanex at yanezg@panasonic.com.

Product Page Images:
Image Capture (enter model numbers)

Processing (enter model numbers)

Transmission (enter model numbers)

Recording / Archiving (enter model numbers)

Viewing (enter model numbers)

If you choose to use your additional page as an informational page, please let TMP know what you would like on that page. If you have pictures or logos, please send them via email to webpagesupport@tmpdm.com or mail to TMP Directional Marketing, 7800 West Brown Deer Road, Milwaukee, WI 53223.

If you chose to use your additional page as a product page, please go to www.cctv-dealer.com and pick out the products that you would like to have included on your website.



Fax order form to: 414-368-5520 or call with any questions at: 800-223-0074.