ORDER FORM - Option 3

Please complete the form below to order your option choice. No payment is required at this stage. You will be sent a confirmation of your order and an invoice for the appropriate amount in due course. Your annual contract will only commence when we have uploaded your details or from an agreed date.

Please note! We reserve the right to refuse requests for Sponsorships, Website Link-ups or A-Z Listings for certain businesses which we may consider the contents to be unsuitable or offensive to us or website users. Please read our terms and conditions Terms & Conditions.

Title

Contact Name

Position

 Contact Telephone

Name of Company

Street Address

Address (cont.)

Town/City

County

Post Code

Telephone

Fax

E-Mail

Business Category

Opening Hours

Picture

 Will be sent by e-mail

 Will be sent by post

 Do not wish to send any

Please provide

details for the

Profile Web Page

You have selected

 

Please Note: The form fields typed in navy are optional.

                        Payment is not required at this stage.

                        You will be billed and sent details of payments in due course.

                        The cost for this option is Rs: 3,600/- per annum.

Please tell us how you heard about us:

If other please state:                               

Any comments or queries:

Thank you for taking time to complete the order form. You will receive a response from us within the next 7 days.

                                                                   

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Revised: Sunday, 06 November 2005