SUBSCRIPTION ORDER FORM - Option 3b

Please complete the form below to order your option choice. You will be sent a confirmation of your order and an invoice for the appropriate amount paid in due course. Your annual contract, which will run for a minimum period of 12 months, will only commence when we have uploaded your details or from an agreed date and the renewal may be cancelled by giving 1 month's notice after the first 11 months have elapsed.

 

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:

Website:

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 tell us how you heard about us:    

                        If other please state:                                    

Any comments or queries:   

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

                        You will be requested to make the payment on the next page using PayPal but you don't

                        have to have a PayPal account; you can also use a credit card.

                        In case you experience any difficulty, please contact us by email by clicking here.