Restaurant Guide Atlanta
www.restaurantguideatlanta.com
Order Form
Date:_____________________Expiration Date:_____________________
Restaurant Name:_____________________________________________
Street Address:_______________________________________________
City:_________________Zip:________Tel:________________________
Cuisine Type:_________________________________________________
Other Locations:______________________________________________
CHECK HERE FOR A FREE LISTING IN THE ALPHABETICAL SECTION ONLY___ $ 00.00 (One location only. Each additional location: $100.00 per year.)
Add on Services:
One Time Production Charges: (Check all that apply)
Create Home Page ($75.00__Additional Pages ($35.00)__Create Menu-Per Page ($35.00)__Create Coupon ($15.00)__Add Photograph's ($15.00 each)______Total One Time Production Charges: $________
Annual Rate-(Includes Normal Maintenance)-Home Page or Menu Page @ $450.00 per year: $________
_____Additional Pages @ $230.00 per year: $_____________
______Coupon(s) @ $275.00 per year___________________
My website address will be: http://www.restaurantguideatlanta.com/____________________________________________
*Bold Listing with a link to my own website. I will be linking from www.restaurantguideatlanta.com to: www.____________________________________
at the rate of $150.00 per year: $_____________
(Quarterly billing applies to Full Page Only) Quarterly Pre-Paid Amount: (4 payments @ $__________) Annual Pre-Paid Amount: $_____________
NOTE: Please make check payable to: FRANK NANCE
I understand that I am entitled to one free listing on the Restaurant Guide Atlanta website. I also agree to pay all of the Add-On service charges agreed upon as shown above. I understand that I will be billed annually, and that this is a one year contract, and is renewable at the end of the one year period. The rates are for the current year, and are subject to a slight rate adjustment next year. I understand that if I want to cancel, I must give Restaurant Guide Atlanta a 30 day written notice prior to the expiration date of the one year contract. No verbal agreements will be accepted. All home pages and any and all advertising matter is subject to the approval of the Editor. No false statements or unethical advertisements will be accepted. Thank you for your business.
Authorized Signature:________________Date:__________Expires:___________
Print Signature:___________________________Date:______________________
Your Account Executive is:____________Tel:__________Mobile: ____________
To print this form, select "File", then click "Print". Click "OK".
Mailing Address: Frank Nance-(Restaurant Guide Atlanta)
5172 LaVista Rd., Tucker, GA 30084
Tel: 770 493-9562 Mobile: 678 467-8339