Please provide the following information. When you have completed the form, press submit and check your email for an authorization to bill your credit card. Just exit and you're done, OR if you want to pay through Pay Pal wait for the Pay Pal page after pressing the submit button.
Contact name Title Organization or company Credit Card Billing Street address Address (cont.) City State/Province Zip/Postal code Country Business Phone FAX E-mail Credit Card # Credit Card Exp Date Person's name on Credit Card (Not Company) Type Plan (Silver, Gold, Platinum, Titanium) Plan Term (1 mo, 6 mo, 12 mo) Search engine group (Yahoo, Google or BOTH*Note: Silver plan is either Yahoo or Google, not Both)
Please list the URL (www.xxx.xxx) we're positioning in the box below, and the contact information for your webmaster (include phone and email address) if ordering the Platinum or Titanium plan *Note: One domain per order, please. By pressing submit I agree to all terms and conditions.
Copyright 2008 Gerry Cunningham, consultant, 1-2-3webposition.com. All rights reserved.Last revised: April 14, 2009