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$15.00 Website Submission Order Form

Let us Submit
Your Website "BY HAND"
to 15 Major Engines!

(Plus, we add 100+ Robotic Submissions FREE!)

Your Name:
Your Company Name, if any:
Street Address:
Your City:
Your State & Zip Code: State   Zip Code
Your Phone & Fax #'s.: Phone:   Fax:
Your E-Mail Address:
Your E-Mail Address Again (for accuracy):
What is the "URL" Address of the Website You Want Submitted?
(i.e. ""):
What "KEYWORDS" do you use on your Website?
(i.e. "insurance, homeowners insurance, auto insurance, etc."):
Credit Card Information:
(Your Card will be charged $15.00 for this service.)
  Card #:

Card Expiry (MM/YY):

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We will send you an E-Mail Confirmation within 24 Hours.

This Website © - 2,008 by Gary B. Savelli, Web Sales Inc.
NONE of this page's contents may be duplicated without prior written permission.

P Box 261 Burlington, NC 27216
Phone: 1-502-445-2382 | Fax: 1-336-376-0953 | E-MAIL: