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INCREASE YOUR SITE HITS NOW!.

Your Name:
Position Held:
Website URL     http://
Business Name:
Address 1:
address 2:
City/Town:
County:
Postal Code:
e mail address:
Telephone:
Fax:
Please check One box: My Marketing Area is:
(a) Local:
(b) National:
(c) Local and National:
(d) Global:
A brief description of the purpose of your website - its target users:
Please check a box: I am purchasing:
(a) Initial Evaluation at £40 ($66):

Knowing that many in the UK do not feel comfortable with online credit card use we have provided for acceptance of payment by Cheque through the normal mail services.
Please type the Number of the cheque you are sending
(this is for our cross reference purposes):
I shall send My cheque in payment within 7 days of EGIC contacting me:
I agree with the terms and conditions of the contract:


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