PRINT OUT AND Email to:
PAY with PAYPAL
Link Order Form
Date:
_______________________________________
___ 6 MONTH LISTING
------------------ 90.00
___ 12 MONTH LISTING
----------------- 150.00
WEB LISTING INFORMATION
(Company Name with web page link
ENTER STATE: ____________
NAME OF
BUSINESS:
___________________________________________
WEB PAGE URL:
_www._________________________________________________
Ad Links available for STATE LOCAL WEDDING VENDORS ONLY:
PHOTOGRAPHER | CATERER | WEDDING CAKES | WEDDING DJ | WEDDING MUSIC BAND
FLORIST | JEWELER | FORMAL WEAR | BRIDAL GOWN SHOP | BEAUTY SHOP | OFFICIANTS
CEREMONY
LOCATION | RECEPTION LOCATION | LIMOUSINE
SERVICE | VIDEO | CONSULTANT
COMPANY INFO
BUSINESS NAME:
__________________________________________________________
CONTACT NAME :
__________________________________________________________
STREET ADDRESS _____________________________
STATE ______ZIP CODE _________
EMAIL:
____________________________________________________________________
PHONE:
________________________________FAX:_______________________________
PAMENT INFORMATION
or Pay with PAYPAL toevelyn@yahoo.com
CREDIT CARD PAYMENTS : ___ AMEX ___ MASTER CARD ___ VISA
Card #
_______________________________ Exp. Date: ___________ CVV ___________
Name on Card:
__________________________________________________________
Billing Address
__________________________________________________________
Card Holder Signature
____________________________________________________
___ Begin Next Billing Cycle (1st
day of each month)
__ Begin
as soon as possible each day $1.00 to first of month.
__ RENEW AUTOMATICALLY: Your listing will automatically renew at the beginning of each new billing cycle
and your credit card will be billed at the current rates.
All advertising submissions are final and non-refundable. You may send us a cancellation notice any time
before your next billing cycle begins.
DIRECTORY LISTING ORDER FORM