Follow these simple directions
and we'll start marketing your store!
Application Form
By submitting this form you agree to
the
Terms and Conditions.
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Site & Listing Information
|
Title of Store/Site
(to be used in listing) |
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URL of Store/Site
(to be used in listing) |
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Description of Store/Site
(to be used in listing) |
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|
In Which Store & Department Would You Like to be Listed? |
Your Home Office Store
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General Store
|
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Do you operate through a home office? |
Yes
No |
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Does the site contain any objectionable content?* |
Yes
No |
* (including but not limited to pornography, explicit
language, gambling, or support of violent groups) |
|
Daily Page Views |
|
Contact Information
|
Company Name |
|
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First Name |
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Last Name |
|
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E-mail |
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|
Phone Number |
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Address |
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State/Province |
|
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Zip/Postal Code |
|
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Country |
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Fax Number
(we periodically send a fax newsletter) |
|
Merchant Account Information
|
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Type of Listing |
Basic Listing... $48 per year
Logo Header Listing... $72 per 3 months
Pay for Performance Listing
Please
contact us if you are interested in
becoming a featured site. |
Important Note:
-
All yearly listings are due in advance.
-
To be considered for the
Pay for Performance program you must include
your credit card information below or fax a blank
check to us. You will not be charged until sales
are generated.
|
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Pay by Credit Card |
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Type of Card |
|
|
Card Number |
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Expiration (mm/yy) |
/
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Name on Card |
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Pay by Check |
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Fax to: |
(801) 375-4820 |
|
Or Mail to: |
Home Business Online Store
P.O. Box 50598
Provo, UT 84605-0598 |
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