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*Name:
Company:
Address1:
Address2:
City, State, Zip:
*Phone:
Email address*:
   
How did you hear 
about us?:		 Search Engine
Catalog
Friend
Email
 Trade Show
Magazine Ad
Press Release
   
Cost/Payment: Website: $599 annual billing (+ $250 setup fee). info
Website: $59.95/mo. (+ $250 setup fee) info 
   
I am a member of: ASHI NAHI NPMA
NFPA ICBO SBCCI AIA
   
I have a website already...
The domain is:
   
I would like the following ".com" domain name,
if available info:
   
Please enter information about your company
that will appear in the "About Us" area in 
your website:
   
Please enter geographic areas that you serve,
(used for search engine placement), please enter at least 5 locations:
*Areas may be portion of states, counties, or cities.
 
*Your credit card is required for hosting and setup fees. Monthly billing will begin after you are satisfied with your website. The setup fee will be billed after your website is live at its final web address.
   
Credit Card:
*Number:
*Name on the Credit Card:
Expiration Date:

Website Package for Single-Office Location, Includes:

Complete customized interactive web site
 Nationally advertised directory listing
Hosting and unlimited site use
Full time customer service for your site
Unlimited updates
Annual billing with monthly billing option
Affiliate Marketing
 Search engine placement: Have your website submitted to all major search engines. We will target specific search engines and use procedures that guarantee ranking in the top 5 search results.
Domain Registration: Includes domain registration, setup  and transfer of existing website, if necessary.
Site Traffic Reporting: Site traffic reporting software lets you monitor visitors, referring URLs, and most viewed pages.
 Satisfaction Guarantee: We will build your website with no up-front cost to you. We guarantee your satisfaction. If you are not satisfied, you pay nothing!

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