EXHIBIT 10.1 1-MERCHANT INFORMATION (TO BE COMPLETED BY MERCHANT) IO# H0526 AGENCY NAME NEW AGENCY - ----------------------------------------------------------------- --------------------------------- COMPANY NAME ONLINE SUPPLIER NEW CLIENT - ----------------------------------------------------------------- --------------------------------- ------------------- CORPORATE NAME (IF DIFFERENT) - ----------------------------------------------------------------- ONLINE STORE NAME WWW.ONLINESUPPLIER.COM - ----------------------------------------------------------------- --------------------------------- MERCHANT CONTACT MERCHANT ACCOUNTS PAYABLE CONTACT - ----------------------------------------------------------------- --------------------------------- CONTACT PERSON/TITLE AARON GRAVITZ - ----------------------------------------------------------------- --------------------------------- PHONE (805)964-9202 X 125 - ----------------------------------------------------------------- ------------------- FAX - ----------------------------------------------------------------- EMAIL AARON@ONLINESUPPLIER.COM - ----------------------------------------------------------------- --------------------------------- ADDRESS (NO PO BOXES) 404 EAST FIRST ST. #1345, LONG BEACH, CA 90802 - ----------------------------------------------------------------- --------------------------------- PHYSICAL ADDRESS TO USE IN CAMPAIGN - ----------------------------------------------------------------- OPT-OUT LINK/EMAIL ADDRESS - ----------------------------------------------------------------- 2-PROGRAM DETAILS (TO BE COMPLETED BY HI-SPEED MEDIA SALES EXECUTIVE) ALL PROGRAMS SUBJECT TO THE HI-SPEED MEDIA TERMS AND CONDITIONS BELOW PROGRAM / ELEMENT START DATE END DATE IMPRESSIONS CPM GUARANTEED# COST AMOUNT - -------------------------------------------------- ----------- -------- ------------ --------- ------------ ----------- EMAIL MKTG. 11/8/04 11/30/04 $ 0.40 4,000,000 $ 1,600. - -------------------------------------------------- ----------- -------- ------------ --------- ------------ OTHER - ----------------------------------------------------------------------------------------------------------------- $ 1,600. - ----------------------------------------------------------------------------------------------------------------- TOTAL COST OF CONTRACT - ----------------------------------------------------------------------------------------------------------------------------- 3-SPECIFICATIONS MATERIALS TO DELIVER SPECIFICATIONS ACTUAL SPECIFICATIONS (TO BE PROVIDED BY MERCHANT) - ------------------------------ --------------------------- -------------------------------------------------- EMAIL MARKETING - MUST HAVE TRACKING CODE - ------------------------------ --------------------------- CAMPAIGN URL - MUST HAVE TRACKING CODE - ------------------------------ --------------------------- DO NOT SEND ("DNS") LIST LINK - ------------------------------ SUBJECT LINE(S) - ------------------------------