w-b-a STORE Add-a-Link REGISTRATION FORM
[w-b-a STORE * your online shopping resource]
| Wall Street Journal |
| Amazon.com |
| REEL.com |
| Candy-Direct |
| Autoweb.com |

Add-a-Link REGISTRATION

To obtain a w-b-a STORE Add-a-Link listing fill out the form below
then press the SEND FORM button at the bottom of this page.
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START-UP
COST
(select one) 		[Monthly rate is $2.95. Initial cost includes 1 time set-up fee of $7.50]

1 month/$10.45 3 months/$15 6 months/$25 1 Year/$35


YOUR SUBSCRIPTION INFORMATION
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First and Last Name:
Company name:
Street Address:
City, State, Zip Code:
FOR NON-U.S. ADDRESS
Province, State, or Territory:
Country and Postal Code:
[GO TO "SEND FORM" BUTTON TO SUBMIT THIS REGISTRATION FORM]
E-mail: Phone: Fax: URL:

Fill in as many of the following fields that are necessary
to explain your product(s) and/or service(s)

Categories for your company, product(s), or service(s)
[list categories that describe your company and state the
letter of the alphabet we should list your company under]:


Keywords describing your company, product(s), or service(s)
[use 5 words or less to describe your WWW page]:


One sentence description of your service(s) or product(s)
[describe your product(s) or service(s) in 15 words or less]:


Write your listing description here
[in 50 words or less, write the description that
will appear after the title of your listing]:



After we receive your completed registration form we
will contact you with subscription and payment information.

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