HOSTING and MARKETING SERVICES ORDER REQUEST FORM

HOSTING and MARKETING SERVICES ORDER REQUEST FORM

Please complete this form, select the services you desire, and submit the order.

For self-service hosting and marketing, you will receive an order verification via email.
For full-service hosting and marketing, we will contact you by telephone to discuss your needs.

ITEMS MARKED * ARE REQUIRED. WE DO NOT EVER SELL OR GIVE AWAY EMAIL ADDRESSES!

Title*
Last Name*
First Name*
Email address*
Your Organizational Role*
Business Name*
Address 1*
Address 2
City, State ZIP* Country*
Daytime Phone* Ext.
Evening Phone * Ext.
Billing Contact Name               Email Address
Technical Contact Name          Email Address
Web Content Contact Name     Email Address

Web Site URL* Web Site Title *

Web Site Description *

Please describe your web site, including your products and/or services,
known competitors, and who you want your web site to reach.

Hosting Packages *

Marketing Options

Internet Presence Solution, Monthly Internet Presence Solution, Quarterly	$40/ month, 3 month increments $60/ quarter
Web Site Marketing Solution, Monthly Web Site Marketing Solution, Quarterly	$100/ month, 3 month increments $140/ quarter
Fast Track Marketing Solution, Monthly Fast Track Marketing Solution, Monthly	$150/ month, 3 month increments $200/ quarter
Search Registry Submission, Monthly Search Registry Submission, Quarterly	$40/ month, 3 month increments $60/ quarter
Deep Search Submission, Monthly Deep Search Submission, Quarterly	$40/ month, 3 month increments $60/ quarter
Web Site Traffic Analysis Report, Monthly Web Site Traffic Analysis Report, Quarterly	$40/ month, 3 month increments $60/ quarter
Top Search Ranking Analysis, Monthly Top Search Ranking Analysis, Quarterly	$20/ month, 3 month increments $30/ quarter
Meta-tag Keyword Update, Monthly Meta-tag Keyword Update, Monthly	$40/ month, 3 month increments $60/ quarter
Complete Web Site Analysis	$400
Custom Marketing Services	Request Quote

Web Design
Please contact me for web design information