Order Form for Automated Website within 72 Hours Your Website Remains Open for Business 24 Hours a Day / 7 Days a Week! Get a Four-Page Website to Advertise Your Business for Next to Nothing! Your site goes up before you pay a dime! If you're not completely satisfied with your new web site, you pay nothing! What do you have to lose? Complete the order form below to get your new web site up and running ASAP! Web pages included with your order serve the following purposes: Index (your business introduction) Online Order Form Pay Options Thank You Each page is only $5 per month or all four pages for $99 per year advance pay. Your site will be installed first regardless of the payment method you choose. However, annual advance pay will save you $141 per year! If you are not satisfied with your website, we'll uninstall it and you pay nothing! To order now, please complete the online order form below: If you have no e-mail address, please go to http://www.yahoo.com and get a free e-mail box where you may receive e-mail. NOTE: Please add "iris@abtn.com" to your e-mail contact list to insure receipt of e-mails from this office. The e-mail address you provide above will also be used to direct product or service order forms to you from your online customers. These order forms (like this one) function as part of your website. Please contact me by e-mail if you do not receive a confirmation of receipt by e-mail from this office within 24 hours of submitting this order form (excluding weekends and holidays). : Your Email Address (required) : Please verify your e-mail address (enter it again). : Your Name (as shown on picture ID) : What is the name of your business? : Day Time Phone : Home Phone : Cell Phone (if applicable) : Fax Number (if applicable) : Mailing Address : City / State / Zip of US Residency : What will you be charging for shipping and handling? If none, input "NONE". : What is your product or service? NOTE: If you like, you may create your text using a word processor such as Microsoft Word or WordPad and then cut and paste them into the text boxes below. Otherwise, simply type in the text you want on each page. Please limit your text to an 8.5" x 11" word processing page per text box below. This is a simple rule of thumb but use more space, if needed. Any amount of text will expand into the boxes below. PAGE 1 - The Index Page : Index Page: What is the description (advertisement) for your product or service? PAGE 2 - The Online Order Form : Order Form: What data do you need from your customers to fill an order? You may use this order form as a guide, if you like. PAGE 3 - The Pay Options Page : Pay Options: What payment methods do you accept; i.e., PayPal, payments by mail, other? PAGE 4 - The Thank You Page : Thank You: This is where your customers will be transferred after completing an online order form. Would you like any special wording? If not, input "STANDARD THANKYOU PAGE" above. : If you have a digital photo of your product or service, please note it above and email it to iris@abtn.com. Please be sure to use the same e-mail address you input above so we can match the photo to your order. If you want us to choose images for you, input "PLEASE CHOOSE IMAGES" above. Special Instructions, if any, type them below: TRACKING INFORMATION: Please help us keep our low pricing by answering the following questions: : Were you referred to us by a classified ad? If so, in which publication or web site did you see our ad posted? : Did someone refer you to us? If so, has this person used our services in the past? : Which search engine did you or the referring person use to locate us? : What keyword(s) did you or the referring person use to locate us on the engine? Be sure to verify all information above then press "Continue Order" button below. INDEX ORDER FORM PAY OPTIONS THANK YOU GO-NATIONAL! 2007 Advanced Business Technology Network All Rights Reserved.