Order Form - Print Clearly




NAME:_______________________________________________________________________

ADDRESS:____________________________________________________________________
____________________________________________________________________________
CITY:______________________________________ STATE:_______ ZIP:______________
E-MAIL:_____________________________________________________________________
WEB SITE URL:_______________________________________________________________
Phone:________________________________ Fax:_________________________________
Catagory: __________________________________________________________________
PLEASE LIST 10 KEYWORD THAT DESCRIBE YOUR BUSINESS

KEYWORD 1:_____________________________________________________________

KEYWORD 2:_____________________________________________________________

KEYWORD 3:_____________________________________________________________

KEYWORD 4:_____________________________________________________________

KEYWORD 5:_____________________________________________________________

KEYWORD 6:_____________________________________________________________

KEYWORD 7:_____________________________________________________________

KEYWORD 8:_____________________________________________________________

KEYWORD 9:_____________________________________________________________

KEYWORD 10:_____________________________________________________________

PLEASE GIVE A 25 WORD DESCRIPTION OF YOUR BUSINESS

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


Signature:_________________________________________________________________

If you have questions call tollfree 1-877-872-4723 and we will return your call ASAP.
Mail this form, your Business card, a Check or Money Order in the amount of $99 payable to:
DPD Associates
c/o Main Street Business Cards
P.O. Box 537
Hudson, NH 03051

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