A Business Web Site Promotion. One Year Plan

SUBMISSION FORM

Please complete the following form, then press the "Send Form" button at the bottom. If you wish, you can instead print the form and send it with you payment. That's all.

Contact Name:
Company Name:
Address:
City:
State:
Country:
Country, required if State/Province is "Other"
Zip:
E-Mail Address:
Phone:
Fax:
URL Submission Data

Enter your URL

Enter the title of your web site:

Enter a 20 word narrative description of your web site:

Select a category for your web site:

Enter up to 6 keywords.

Use single words or double words that logically go together.


ONE YEAR PLAN: $190.00 US

Please Make Your Check or M/O to:

Kant
1 CLAUSS CT, Suite 3C
Sacramento, CA 95820

(Please include your company name and/or URL ( http:www.....) on the check. Thank you.)
You can pay with International Checks too.


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