CLIENT ORDER FORM

CLIENT ORDER FORM

Client Name *
Contact Phone *
Billing Address *
Personal Email *
Business Name *
Business Address Please tell us if you do not want this on your ad.
Business Phone *
Business Hours *
Do you have a web site? If so what is it?
Business Email
What do you want your ad to say? *
Is there particular colors/fonts you like?
Add a $1.00 for a link to your web site? *	Yes No
Add a $1.00 per page link to your web pages? *	Yes No
Add a $1.00 for a link to your Email? *	Yes No
Add a $1.00 for a link giving Driving Directions? *	Yes No
Add a $1.00 for a link to a Map? *	Yes No
Do you have pictures you want to use? If you do, email them to us info@evepena.com *	Yes No
If you want to add pictures outside your ad add $1.00 per picture with no link. *	Yes No
Add $2.00 per picture for a link to enlarged picture view or your website? *	Yes No
What key words do you want to add to your ad to increase its visibility? (These will not be seen in the ad though they are there)!
By writing your name in this line you are signing this order form as a legitimate agreement to pay for these services. *
Order Date *