Advertise on Island Pond Dot Com
Island Pond, VT.
Northeast Kingdom

Please fill in this form and submit it. You will not be billed until your ad is placed on our web site. *Areas with Red Asterisk are Required Information

Please fill out this entire form. If you do not we may not receive your info

* First name *
* Last Name *
* Billing Address *
* City / Town *
* State / Zip Code *
E-Mail Address
* Contact Telephone Number
* I would like to advertise on Island Pond Dot Com *	NoYes
* I would like to place an ad on your Amenities section ($10.00 per year)	Yes, I would my ad to be placed on your Amenities section for $10.00 a yearNo, I do not wnat to be on your Amenities section for $10.00 a year
* I would like to place a banner ad on your web site and link it to our web site ($40.00 per year)	Yes, I would like to place a banner ad on your web site and link it to our web site ($50.00 per year)No, I do not wish to place a banner ad on your web site at this time
* I would like to place a banner ad on your web site Plus an ad in your Amenities section ($45.00 per year)	Yes, I would like to place a banner ad on your web site Plus an ad in your Amenities section ($45.00 per year)No. I do not wish to to place a banner ad on your web site. Plus an ad in your Amenities section ($45.00 per year)
* I would like to place a banner ad on your web site and link it to our web site. Plus an ad in your Amenities section ($50.00 per year) *	Yes, I would like to place a banner ad on your web site and link it to our web site. Plus an ad in your Amenities section ($50.00No, I do not wish to place a banner ad on your web site and link it to our web site. Plus an ad in your Amenities section ($50.00
* I would like to place a banner ad on your web site Plus an ad in your Amenities section and make us a one page sub-web site. ($55.00 per year)	Yes, I would like to place a banner ad on your web site. Plus an ad in your Amenities section and make us a one page sub-web site. ($55.00 per year)No, I do not wish to place a banner ad on your web site. Plus an ad in your Amenities section and make us a one page sub-web site. ($55.00 per year)
* Description of your ad (200 words or less) that you wowld like to apper in your ad *
Your Web Site URL (www.yoursite.com) if you have one
E-Mail Address (to be used in ad) if you have one (must be in format like -- myemail@myisp.com)
* Phone Number (contact number to be used in ad) *
* Street Address (location of business for ad) *
* City / Town for ad *
* State / Zip Code (for use in ad) *
* Contact Name (for use in ad, IE: Mary and Joe Doe) *
Fax Number (to be used in ad) If you would like it to be in your ad
Would you like us to design a web site for you? Prices starting at just $70.00 per year.	Yes, I would you to design a web site for you? Prices starting at just $70.00 per year.No, I do not wish for you to design a web site for us? Prices starting at just $70.00 per year.
Would you like us to Host your web site? Prices starting at just $6.95 per month	Yes, I would like you to Host our web site? Prices starting at just $6.95 per monthNo, I do not wish for you to Host our web site at this time. Prices starting at just $6.95 per month
Comments

Thank you for your order.

We look forward to helping you.

 Island Pond Dot Com Support Team

 Please note: We also offers web site design and hosting at extremely low rates (starting at only $6.95 a month). If you are looking for a way to save money on your web hosting or would like us to design and host a web site for you, contact us today.