deadlock logo [10K]
Promotion Enrollment
We also accept "Virtual Checks"

It'll help us to get your campaign running quickly and smoothly if you complete this form as thoroughly as possible. If you have any questions about it, please let me know. Once you hit the "Send It" button you'll get a "Thank You" screen. This means your order has been placed successfully.

Important: although we quote all prices in US dollars (because it's universally understood) this is not deadlock Design's local currency. We try to be as accurate as possible, but the dollar amount appearing on your credit card statement might be a few cents higher or lower than advertised, depending on your own credit card service.



Your Order
Size of
site:
Up to 10 pages - $399 setup + $125 per month.
Large site (over 10 pages)
Length of
campaign:
"say when" (you decide when to stop)
one time submission 4 months 8 months
Site URL
(main index)
http://
Please list the URLs of all other pages
on your site you want to promote:

Personal Details
(for us to contact you)
Name:
Email:
Phone:
Fax:
Details for site submission
(to appear on your search engine listings)
Name
(optional)
Business
address

(optional)
In as few words as possible, please state exactly:
what is your service and-or product? What are you selling?

Credit Card Details
Card Number:     Exp.:
Name On Card:
Cardholder's
Address:
OR:   No card details (please explain in the 'comments' box).
Comments:
How did you
discover
this site?