ONLINE PAYMENT FORM

ONLINE PAYMENT FORM
All required fields have an asterisk, " * ".
All fees listed are one-time costs.

* Please select from the following services and products:
*$9.95*	Basic Submission - We will add your website to over 830 major search engines and directories.
*$24.95*	Complete Submission - We will add your website to over 1,950 major search engines and directories.
*$49.95*	Homepage Keyword Enhancement - Website Optimization Our professional team will review and adjust your website code to increase your Search Engine position. When the enhanced web pages are complete, a Basic Submission will be carried out. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! Saving of $9.95
*$99.95*	GOLD PRO Complete Submission - We will add your website to over 312,600 major search engines and directories. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! + FREE BONUS: Website Optimization - $49.95 value! + FREE BONUS: Initial Yahoo! Special - $19.95 value! Saving of $49.95
*$59.95*	Annual Basic Submission - Twelve Basic Submissions (12 x 830 major search engines and directories), one per month, for a year. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! + FREE BONUS: Website Optimization - $49.95 value! Saving of $119.35
*$139.95*	Annual Complete Submission - Twelve Complete Submissions (12 x 1,950 major search engines and directories), one per month, for a year. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! + FREE BONUS: Website Optimization - $49.95 value! Saving of $219.35
*$299.95*	BUSINESS GOLD PRO Submission - Twelve GOLD PRO Complete Submissions (12 x 312,600 major search engines and directories), one per month, for a year. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! + FREE BONUS: Website Optimization - $49.95 value! + FREE BONUS: Initial Yahoo! Special - $19.95 value! + FREE BONUS: 15,000+ Unique Ad Displays - $180 value! Saving of $1139.35
*$19.95*	Optional: Initial Yahoo! Special - Two manual submissions to Yahoo! per week for four weeks. + FREE BONUS: Search Engine Secrets E-Book - $19.95 value! Saving of $9.95
*$19.95*	E-Book: Search Engine Secrets - Special report on how to get your site listed at the top of the major search engines and directories.

Website Information

* Email Address:

Warning: You will receive hundreds of email confirmations to this email address.
Solution: It's a good idea to get a free e-mail account to send those replies to.

* Website Address (URL):

* Website Title (64 characters or less):

* Website Category:

* Website Description (25 words or less):

* Keyword Phrases for indexing:
(Enter up to 10 keywords or phrases separated by commas.)

* Additional Comments (Optional):

Personal / Business Information

* Contact Name:
* Contact Title:
* Company Name:
* Address:
* City:
* State:	(Please enter 'NA' if you are outside the USA)
* Zip/Postal Code:
* Country:
* Phone Number:
* Fax Number:

Payment Information

* Name on Card:
* Zip/Postal Code:
* Card Type:
* Card Number:
* Exp. Date:	/
* CVV Number:	How to find your CVV Number
You must use the same zip code (postal code) that appears on your credit card statement.

NOTE: You may have to hit the " Submit Order " button again to successfully submit your order.

Credit card fraud will be prosecuted to the fullest extent of the law. Your IP address will be
recorded along with other sales information and will allow us to contact your Internet Provider if need be.

If you run into any difficulties using this form, please contact us.