ORDER FORM - Option 6


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

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.

                        You will be requested to make the payment on the next page.

                        You will be sent your Invoice/Receipt for the payments in due course.

                        The cost for this option is £225.00 per annum.

Please tell us how you heard about us:

If other please state:                               

Any comments or queries:

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