ProMusicFind.Com - Online Subscription Form: Associate E-Gold Membership

logomain1.jpg (6456 bytes)

Client has his or her own domain and Web site.

Includes: 5 category links, search result pages with shopping cart (check boxes beside each item to allow customer to add to shopping basket), add to shopping cart, view shopping cart, check-out form, and thank you page. An unlimited amount of items may be added to shopping system.

Business Name:
Contact Name:
Password:	(To Be Used To Enter Your Dealer System)
Street Address:
Street Address:
City:
State:
Zip Code:
Country:
Telephone Number:
Fax Number:
E-mail Address:
Website URL:
Tell us about your website listing:
Payment Types Accepted:	Money Orders Personal Check Cashiers Check AMEX Discover/Novus MC Visa

Specialties:
Shipping Policy
Return Policy
Please describe you, your store, your services, etc...
Extra services you would like with your account: Search Engine w/One Search Field - $25.00 setup & $5.00 / month Additional Search Engine Field - $25.00 setup & $5.00 / month Additional Category Links: Additional Graphics or Pictures: Electronic Format - Scanning and Manipulating - Setup Fee for account - $110.00 Minimum monthly Fee - $249.00