Order Form If you are a success minded person who understands the importance of making a decision that will have a direct impact on the success of your business then LETS GET STARTED! Here's all we need to put you in the top!
Organization Name:
YOUR NAME:
Address:
City, State, Zip:
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Country:
Telephone:
Fax:
Email:
Your present URL: http://
1st Keyword or Phrase:
2nd Keyword or Phrase:
3rd Keyword or Phrase:
4th Keyword or Phrase:
5th Key word or Phrase:
Comments:
Paying By Credit Card (All Credit Cards will be processed thru American Flyer Printing Merchant Account.)
Discover Visa Master Card
Credit Card Number
Orders will not be processed without Credit Card Information
*Security Number:
3 digit security code found on the back of your credit card
Credit Card Number
exp:
Paying by Check
Name on Check:
Address on Check:
City, State, Zip:
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Name of Bank:
Address of Bank:
City, State, Zip:
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9 Digit Routing # Bottom Left of check:
Account #:
Check#:
Name on Check:
Terms Agreement:
By clicking this box I understand that due to any returned Check(s) "Drafts" because of NSF, Stop Payment (fraud), False information or any other act's deemed Intentional by the customer. Said customer may be assessed an additional $20.00 Fee per incident. By authorizing this order, customer agrees that Robert Massa can generate an electronic draft "check" for fee(s) that may be due without further notice.
By clicking this box I understand that I will be charged a $2,989.00 set up fee and a $358 monthly maintenance fee. I understand the monthly fee begins once I'm notified of my being listed in at least the Yahoo data base.
I further understand that once my account is activated, it in no way implies that the service is completed, in fact, it means the service is just beginning.
I also understand that I am in no way contractually obligated to continue this service. If I relize at any time that this service is not driving top placement quality traffic to my online business, then I may cancel at any time with a thrity day notice prior to my monthly due date and I will not be charged again.
The Bad Stuff
Like any business, we deserve to be paid for services rendered.
Monthly fees will be due on the due date. There is no grace period. Furthermore if non-payment occurs for any reason, promotional pages will be deleted and the placements will be lost. Reinstating the account may require another set up fee. I understand the set up fee is non-refundable.