attracthits.com Order Form


General Order Form

Please provide the following contact information:

Full Name

Title

Organization

Address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

Web Site Address

Discount Coupon Code

Did Someone
Refer You To ATTRACTHITS.com? Yes No, I found ATTRACTHITS.com on my own

If Yes, Please Provide Their Contact Details So That We May Thank Them.

Please place a check next to the service or services that your desire.

Service Price In US$

Search Submission (12 Times Per Year) $225

E-Mail Newsletter Service
(Please note that we will contact you to discuss the details of your newsletter program upon receipt of your payment) $950

Method of Payment:

(Note: Charges will post on your monthly statement under our company name "Ocean Crest Creative" and not "ATTRACTHITS.com". All rates are quoted in United States dollars.
Credit Card: VISA Master Card
Credit Card Number:
Expiration Dated: Month Year:
Name as it Appears on the Credit Card:
Billing Address If Different From Above:
Address
City
State/Province
Zip/Postal code
Country