START
AWEBPAGE.COM
A r o u n d T h e C o r n e r & A r o u n d T h e W o r l d ! ©
WEB PAGE DESIGN & CONSULTING
SEARCH ENGINE SUBMISSION, DOMAIN NAME REGISTRATIONJust fill out
this simple form to begin building your website traffic!
You must fill out all fields!
For help filling out this form, call 1-888-226-8270 We need this information about
your site.
PRINT & FAX FORM TO 1-978-681-4163
SNAIL MAILTO: STARTAWEBPAGE.COM P.O. BOX 883 North Andover, MA 01845
WEBSITE NAME / TITLE: _______________________________________________________________WEB SITE URL : _______________________________________________________________________
DESCRIPTION: _________________________________________________________________________
PREFERRED CATEGORY PLEASE CHOOSE ONE: _____________________________________________
UP TO 10 KEY WORDS: __________________________________________________________________
COMPANY NAME: _____________________________________________________________________
ADDRESS : _____________________________________________________________________________
CITY : _______________________STATE:_______________________ZIP :_________________________
CONTACT NAME : ______________________________________________________________________
PHONE NUMBER : ____________________________________FAX #:___________________________________
E-MAIL ADDRESS : _______________________________________________________________________
Domain Name /.COM Search Engine Submission Packages
PLEASE CHOOSE YOUR SEARCH ENGINE OPTION BELOW
_______________________________________________________________________________
Super Submission Package !
$699.00 Includes 12 submissions, One submission ever month for one
year.Recommended When a Top Search Engine Position Is Desired !
________________________________________________________________________________
$399.00 , 6 Submissions, One submission ever month for 6 Months
to the Top 10 Search Engines.
_________________________________________________________________________________
$99.00 , one time Submission to Top 10 Search Engines.
_________________________________________________________________________________
CREDIT CARD INFO
CARD #:_____________________________________________EXP DATE:_______________
NAME ON
CARD:______________________________________________________________
A SIGNATURE IS REQUIRED & WILL CONSTITUTE THIS AS YOUR AGREEMENT TO PAY ABOVE TOTAL.
SIGNATURE_____________________________ ________________
TOTAL_______________PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE