(MDDS Associates Online Web Page Order Form)

Fill In This Form Completely, And "PRINT" This Form !

 


Method Of Payment:                                               

Money Order Cashiers Check

Single Web Page Custom Designed and Built to Your Specifications, $100.00

"Cash In 48 Hours, and Dialing 4 Dollars" Half Price Special ! $29.95

Web Page Designed, Hosted, Listed, And Linked To "Our Local City Guide Sites In Alabama & The Cyberspace Yellow Page Web Site" Total Due 1st Month $119.95 Then  $19.95 Per Month, And will be Billed Monthly to You at: $19.95 Per Month !.

Total Combined for Both Services = $119.95 Includes 1st Months Design, Setup, & Hosting Fee:

Freedom To Fascism DVD $9.00 Plus $5.95 Shipping = $14.95

 Total "Cash In 48 Hours System & Dialing4Dollars" $29.95                  

 Total Amount Due above "Web Page" 1st Month $119.95 Then $19.95 for 11 following Months !                                          


(Required Information)

Name: Address:

City: State:   Zip:

Phone:  EMail Address:


Type Your Full Web Page Advertisement In The Space Below

Keep Your Typing In Side The Borders Of The FORM:


Comments or Graphics to use on your Web Page

 
Scan Your Business Card Into Your Email Program as An Attachment and Then Send To Below EMail Link Along With a Check or Money Order in the amount of $45.00 To Have Your Business Card Listed On Our City Guide Web Sites !

Copy and Paste the above information into your "EMail Program" by setting your cursor into the text area above, Hold down the "Left Mouse Key" then drag across the entire text area "Hi_Lighting" it. Then hit CTRL C this will "Copy" the Hi-Lighted area into your "Clipboard". Then place the cursor into the text area of your EMail Message and Click CTRL V and this  will paste everything into the email message area of your EMail Program !

MailTo: Dickjacobs@netscape.com?Subject= Business Card Listing !


Make All Checks and Money Orders Payable To Dick Jacobs:

Mail This Printed Order Form To The Following Address:

MDDS Associates: P/O Box 47  Lincoln Al. 35096

All Rights Reserved: Est, 1989

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