ONLINE ORDER FORM
£150.00 + Vat at 17.5% per month per Keyword Phrase
Minimum contract 12 Months, Terms & Conditions Apply.
1st URL (Website address to be promoted)
1st Keyword Phrase
Short description (8 to 16 words)
2nd URL (If different from the 1st URL)
2nd Keyword Phrase
Short description (8 to 16 words) if different from 1st URL
3rd URL (If different from the 1st URL)
3rd Keyword Phrase
FREE 4th URL
FREE 4th Keyword Phrase
Your Name
Phone Number
Email Address
Organisation Name
Address
Post Code
Billing Details
Invoice Monthly Invoice 12 Months in Advance - 5% Discount Credit/Debit Card Monthly Credit/Debit Card 12 Months in Advance - 5% Discount Standing Order Monthly
Credit/Debit Card Details (Visa/Mastercard/JCB/Switch/Delta only)
Exact name on card
Card Number Expiry (MMYYYY) Issue Number (Some cards only)
Card billing address if different from above.
Notes/PO Number.
Terms