Sales Leads - purchase leads, business email addresses

SPONSORSHIPS

SPONSORSHIP ORDER FORM

Please fill out the form below if you are interested in purchasing our Sponsorship Program. You will be permitted to order a Sponsorship package for one category per business that you own.

Due to the fact that we give exclusivity on a first-come first-served basis you will receive confirmation and a welcome letter once we receive your order.

Once you receive confirmation you will receive an email with the address that you can send your text based offer to for the email programs and a link to your site for our quick links programs.

Please provide the following contact information:

First Name

Last Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

FAX

E-mail

URL

Please provide the following ordering information:

Category of your business:
Health Insurance, Auto Insurance, Life Insurance, Business Insurance, Telecommunications, Wireless, Internet Access, Office Supplies, Office Equipment,
Merchant Accounts, Business Loans, Business Planning,
Advertising, Mortgages, On-line Banking, On-line Finance, Employee Benefits, Incorporation, Accounting, Legal, Web Site Design, Domain Registration, Web Site Hosting, Sales, Computer Hardware, Computer Software, Other.

# of months Requested

Specify products/services

The Price per Sponsorship is $1500 per month. Your credit card will be charged once you have been accepted to the program. Your program will start two-three days after acceptance. All Monies are charged in US dollars.

BILLING

Credit Card

Cardholder Name

Card Number

Expiration Date

Enter in the description of your business:

Enter the criteria of the person or company most apt
to purchase your product or services: