Fax or mail completed form to The Advantage Corporation. (Fax number and address found at end of this form.

Check one: Per Mo. Total Savings! ____ 3 months $ 60 $ 180 ____ 6 months $ 48 $ 288 20% ____ 1 year $ 36 $ 432 40%

Record Profile Info Enter a short descriptive header (up to six words). ___________________________________ Enter a description up to six lines (around 35 words). ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ Company Name: ________________________ Contact Name: ________________________ Email: ________________________ URL: ________________________ Telephone: ________________________ Fax: ________________________ Address: ________________________ Suite/Address2: ________________________ City: ________________________ State/Province: ________________________ Zip/Postal Code: ________________________ Country: ________________________ The contact information above will also be used for billing purposes unless otherwise indicated here. _________________________________________ _________________________________________ _________________________________________ Briefly describe compensation. ________________________________________ ________________________________________ ________________________________________ Office/Production Equipment Needed: ________________________________________ ________________________________________ ________________________________________ Select One: ____Franchise ____Business Opp. (non-mlm/non-fran.) ____Network Marketing ____Dealer/Distributor ____Agent/Consultant ____Licensor ____Business For Sale Year Co. Began: _______________ Year Oppty. Began: _______________ Number of Units: _______________ Available In: (circle one) All U.S. States Most U.S. States Some U.S. States List specific states and countries. Home-based? ____Part-time ____Full-time ____Part-time or Full-time ____Not home-based Training & Support? ____Yes ____No Circle one below each category. Initial Fee: Capital Req.-Low: Capital Req.-High: Up to $100 Up to $1,000 Up to $5,000 Up to $10,000 Up to $50,000 Over $50,000 Up to $100 Up to $1,000 Up to $5,000 Up to $10,000 Up to $50,000 Over $50,000 Up to $100 Up to $1,000 Up to $10,000 Up to $50,000 Up to $100,000 Over $100,000 Royalties: _______________ Financing Available? ____Yes ____No

Electronic Reply Card Info ____ I want the Standard Electronic Reply Card. ____ I want to customize my Electronic Reply Card. Business Summary Info ____I already have an HTML page I would like to use. ____Please make a Business Summary for me.

Payment Info

_____Check here if you are sending a check by surface mail. _____Check here if you are faxing a check with this order. ____VISA ____Master Card ____Discover ____American Express Credit Card Number: ______________________________ Expires (mm/yy): ______ / ______ Name on Card: ______________________________

Agreement &
Ad Submission
By submitting this order, you agree with the fees associated with this Insertion Order and authorize The Advantage Corporation to charge or debit your account. You understand that all fees are to be pre-paid and are non-refundable. The Advantage Corporation reserves the right to reject or terminate any ad, listing, document and/or account for any reason at its own discretion. Returned checks are subject to a $20.00 service charge.

FAX OR MAIL TO:	FAX 801-375-4820 Home Business Online Attn: Business Network Exchange P.O. Box 50598 Provo, Utah 84605-0598
This page and all contents are copyrighted (C) 1996 by The Advantage Corporation, Provo, Utah.