Advertising Placement Submission Form | Universal Parts Exchange™

Order OEM or Aftermarket Automotive Parts

To ensure we provide the right solutions and address your specific business or company objectives, complete all fields accurately.

Providing detailed information about your business and it's processes helps us handle your request efficiently and with minimal back and forth.

Your request will initially be placed on a waiting list for review. Only selected businesses will advance to the next evaluation stage.

For ease of reference, see "Ad Preferences and Targeting" brief meanings below. This input is requested for further down on the form:

Native Ads (Means integrated content promoting products/services)
Direct Mailing (Means sending exclusive promotions to our customers)
Contextual Targeting (Means placing ads on web pages relevant to your category)

Please Note: When you click "Submit", the script will first verify all parameters are correct PRIOR to sending. Please be patient as that verification takes place.

If form has issues, send us a WhatsApp Message with details.

Thank you for your cooperation!

* First Name:

* Surname:

* Company or Business Name:

* E-Mail Address:

* Re-Confirm E-Mail Address:

* Select Country Code:

* Mobile Phone Number:

* Country:

* City or Town:

* Submission Category:

* Year Business Registered:

* Primary Product Category:

* Ad Placement Preferences:

* Geographic Target for Advertising:

* Advertising Goals and Objectives:

* Customers You Are Targeting:

* Ad Preferences and Targeting:

* Attach Excel Sheet with Products or Service Details:

* Add Other Details Not Covered Above:

* Means Required Fields

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