Order Form

20 Blaine Ave. Suite 100
Manor, PA 15665
 

Order No. New Account

Date:
Rep:

 

Please Type or Print

Name:

Address:

Company:

City, State, Zip:

Phone:

Fax:

Email:

URL:

Check

Description

Setup

Monthly

Amount

q

Bronze Search Engine Placement Package

$1495.00

$99.00

$1495.00

q

Bronze Super Saver Search Engine Placement Package

$2495.00

$99.00

$2495.00

q

Silver Search Engine Placement Package

$1995.00

$195.00

$1995.00

q

Silver Super Saver Search Engine Placement Package

$3495.00

$195.00

$3495.00

q

Gold Search Engine Placement Package

$2995.00

$295.00

$2995.00

q

Gold Super Saver Search Engine Placement Package

$4495.00

$295.00

$4495.00

q

Platinum Search Engine Placement Package

$4995.00

$495.00

$4995.00

q

Platinum Super Saver Search Engine Placement Package

$6495.00

$495.00

$6495.00

q

Meta Tag Optimization [No. pages________ ]

Enter from pricing table

$

q

Search Engine Submission [ No. pages ________ ]

Enter from pricing table

$

q

Yahoo Directory Submission[ No. pages ________ ]

Enter from pricing table

$

q

Inktomi Directory Submission [ No. pages ________ ]

Enter from pricing table

$

q

All-In-One Directory Submission [ No. pages ________ ]

Enter from pricing table

$

q

Reciprocal Links    [ No. links  ________ ]

Enter from pricing table

$
*You need not include the Monthly Amount. See below regarding billing.

TOTAL AMOUNT DUE

$____________
Acceptance Instructions X_____________________
Signature of Acceptance

X
________________
Please Print Name

X
_____/_____/_____
Date of Acceptance

Please make all checks payable upon acceptance to:

e-Business-Associates.com
20 Blaine Ave. Suite 100
Manor, PA 15665

Please sign and Fax to 1.775.239.3572.
*Search Engine Placement Package billing  commences 30 days after guarantee is met.