BASIC ONE-TIME RATE: $100.00

Includes: Company logo, company name, description of your company , location and instant link to your site. You pay this amount only once. Your site is listed for as long as you are in business.

ADDITIONAL CATEGORY LISTING: $10.00

Includes: Duplicate of original category listing (as described above) under an additional category heading. For example, if you offer horseback riding in addition to river rafting, you can choose one as your basic category and the other as an additional category. You may choose as many as seven category listings.

ADDITIONAL REGION LISTING: $10.00

Includes: Duplicate of original category listing under additional region heading. For example, if your company offers whitewater rafting in Utah and also in Chile you can choose one as your basic region and the other as an additional region. You may choose as many as seven regional listings.

Fill out the forms below and we will have you linked to goneAWOL.com within 5 business days.

Company Name:

Company Address:

City:

State / Province:

Zip Code / Postal Code:

Country:

Daytime Telephone:

(Please include Area Code)

Fax Number:

eMail:

Credit Card Number:

Type of Credit Card :

Name on Credit Card:

First:

Last:

Expiration Date:

Please provide the following information to help us with your site link.

Web Site URL Address:

Web Site Business Name:

City:

State/Province:

Country:

Brief Description:

Important! Please limit description to 210 characters.

Please email your company logo to us as a jpeg or gif attachment via our email address on the "CONTACT US" page. Logos must be received within three business days of submiiting this agreement. Otherwise we will take a snapshot of your logo from your website. Please check the appropriate box below:

Company Logo:

Please check one:

I will email my logo to you.

You may take a snapshot of my logo.

I don't have a logo.*

*Note - If you are interested in web hosting, logo design, web sight design or other design services please check out "OTHER SERVICES OFFERED" on the "CONTACT US" page.

Please check the box to the left of each service requested and fill in the category you wish to be located under. If desired, check additional category boxes and scroll to the corresponding category name. As you check the boxes, the costs and totals will appear in the boxes to the right.

SERVICE:

CATEGORY NAME:

COST:

Basic Service @ $100

$

ADDITIONAL ACTIVITIES If your company offers additional activities and you wished to be listed in additional activity categories, please Check the box or boxes below and scroll to the appropriate activity:

2nd Category @ $10

$

3rd Category @ $10

$

4th Category @ $10

$

5th Category @ $10

$

6th Category @ $10

$

7th Category @ $10