AdPark WEB page ORDER FORM

Take a moment to fill out the AdPark ORDER FORM. Please fill out the information below as completely as you can. Most of these questions I have made as simple as I can, however if you get stumped, feel free to browse our directory to get some ideas.

(Press the tab key or click your mouse to move from field to field)

Business Name:

Address:

City:

State (USA only):

Zip+4:

Country:

E-Mail Address:

( If you don't already have an E-Mail account, or you plan to have one especially for this WEB page, we can set you up with one that is free of charge. ) It will end with "@juno.com". Go to http://www.juno.com & download their FREE E-Mail program. After setting up an account, enter the name that you created. ( Example SDOptical@juno.com JonesPrinting@juno.com )

What "EXAMPLE" page would you like us to model your page after?

What "BACKGROUND COLOR" would you like us to use on your page?


Tell us what you would like to say on your WEB page. ( See EXAMPLE pages for text ideas. )

Please use the space below to provide us with any information about your company or product that you feel will assist in building your page.

Tell us what "COUPON OFFER" you would like to use on your WEB page. ( See EXAMPLE pages for COUPON ideas. ) If applicable.

Please use the space below to provide us with your "COUPON OFFER".

Tell us what "KEYWORDS" for the "SEARCH ENGINES" you would like to use for people to find your WEB page on the internet. ( These are the words that people would use to find your type of business on the internet. ) Examples for "Classic Floors": flooring, tile, remodeling, construction, carpet, etc.

Please use the space below to provide us with your "KEYWORDS".

Please enter the "URL " or "WWW" address(s) that you would like to "link" your WEB page to: ( Example: SEAWORLD, Local Weather, your vendors page(s), etc. )

Please use the space below to provide the "URL " or "WWW" address(s) you would like to "link" your page to:

Please enter what you would like your WEB page Address to be:

( Example: www.adpark.com/allstate www.adpark.com/tomhams, etc ).



Please attach any PHOTOS, LOGOS, and/or GRAPHICS that you want on your page. Use a separate sheet of paper to give us a basic layout on how and where you would want these items to appear on your page.


Stuck? Questions? Call ( 619 ) 271-2555 We'll do our best to help.


When complete :

After complete, mail all attached documents plus a check or money order to "Family Values Advertising" in the amount of $175.00 to:


Family Values Advertising
P.O. Box 13334
San Diego, CA 92170


After we complete your page, we will FAX back your proof to whatever FAX number you designate or mail a hard copy back to you. Most WEB pages are completed within 1 week. Your WEB page will remain in our AdPark directory for a period of 1 ( one ) year from time of completion.

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