Globalnet Promotions

Web Site Promotion Order Form

For Program Postings Only

1000+ submissions for $49
or
375 for just $29

Please fill out this form completely. All information is required to complete the submittal of
your Web Site. Any missing information will delay this order.

Contact Name/Title:
Address: (with zip/postal code)
Name of Company:
Title of Web Site:
URL:
Contact E-mail:
Phone Number: (include area code)
Fax Number:
Preferred Directory Category:

Web Site Descriptions

Please Note: Search Engines accept different amounts of text and DO NOT accept all capital letters. So please turn Caps Lock OFF

Short Description (10 words or less):

Description (25 words or less):

Paragraph Description (75 words or less):

4 - 6 keywords:

We reserve the right to edit text as required to facilitate submittal

Payment Information

International Orders just use a credit card or mail a Money Order in U.S. dollars

Name (as shown on card):
Billing Address:
Phone Number:
Credit Card Type:
Credit Card Number:
Expiration Date (MM/YY):
Service Requested:	1000+ Submissions for $49 375 Submissions for $29

We will notify you by email when all Web Promotion has been completed.
List of postings will be sent to you via email.

Please proofread information on this form before submitting

Our Address:

Globalnet Promotions
PO Box 6921
Lee's Summit, Mo 64064
Phone: 888-447-4678
FAX: 816-554-0041
Email: promo@globalnetpromotions.com