Restaurant Guide Atlanta

Restaurant Guide Atlanta


Order Form


Date:_____________________Expiration Date:_____________________

Restaurant Name:_____________________________________________

Street Address:_______________________________________________


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:

*Bold Listing with a link to my own website. I will be linking from 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