Secure Online Order Form Please fill out the form below.  When you are done, check for accuracy and be sure to click on the "Submit" button on the bottom of the form.  If your browser cannot handle forms or if you have problems with this form, e-mail us your order at order department or software department.

TargetMan Website Promotions Search Engine Submission Online Order Form We will Submit up to 2 web pages... MegaSubmit To 795,000+ Search Engines Only $399.95 To 8,000 Search Engines Only $79.95 or To 400 Only $29.95

Your Website Submission  Information: This information will be displayed on/or to search engines : Read our Guarantee Site URL(s) to be listed in Search Engines http:// E-Mail Address This is the address sent to search engines and may be different than sent to us for our records below. Company Name Contact Name Company Street Address City State ZIP Code Country Keyword #1 Keyword #2 Keyword #3 Keyword #4 Keyword #5 Keyword #6             Web Site Title Web Site Description (up to 250 Characters) Choose Appropriate Category Arts Arts & Entertainment Arts & Entertainment => Books Arts & Entertainment => Dance Arts & Entertainment => Events Arts & Entertainment => Fashion Arts & Entertainment => Games Arts & Entertainment => General Arts & Entertainment => Magazines Arts & Entertainment => Movies Arts & Entertainment => Music Arts & Entertainment => Restaurants Arts & Entertainment => Television Automotive Automotive => Audio Automotive => Clubs Automotive => Insurance Automotive => Maintenance Automotive => Rental Automotive => Sports Business Business => Accounting Business => Banking Business => Consultants Business => Economics Business => Employment Business => Finance Business => Insurance Business => Law Business => Mail Order Business => Supplies Communications Communications => Advertising Communications => Consultants Communications => Media Communications => Public Relations Communications => Publishers Communications => Telecommunications Computer Computer => Consultants Computer => Hardware Computer => Internet Computer => Multimedia Computer => Services Computer => Software Computer => Supplies Computer => Training Computer => Web Design Computer => Web Hosting Consumer Consumer => Antiques Consumer => Appliances Consumer => Art Consumer => Children Consumer => Clothing Consumer => Electronics Consumer => Flowers and Gardening Consumer => Food and Beverage Consumer => Furniture Consumer => Goods Consumer => Health Care Consumer => Household Consumer => Insurance Consumer => Mail Order Consumer => Music Consumer => Services Education Education => Adult Education => College Education => Consultants Education => Distance Education => Preschool Education => Supplies Education => Vocational Entertainment Entertainment => Adult Government Internet Internet Providers Manufacturing Manufacturing => Agriculture Manufacturing => Chemical Manufacturing => Construction Manufacturing => Electronic Manufacturing => Food Manufacturing => Furniture Manufacturing => Instruments Manufacturing => Machinery Manufacturing => Metals Manufacturing => Mining Manufacturing => Oil and Gas Manufacturing => Paper Manufacturing => Pharmaceutical Manufacturing => Printing Manufacturing => Textile MARKETPLACE Medical Medical => Clinics Medical => Dental Medical => Hospitals Medical => Insurance Medical => Laboratories Medical => Nursing Medical => Research Medical => Supplies Medical => Veterinary Military Miscellaneous MOVIES MUSIC NATURE NEWS Personal PERSONAL WEB PAGES PROGRAMMING Real Estate Real Estate => Agents Real Estate => Architecture Real Estate => Brokers Real Estate => Commercial Real Estate => Construction Real Estate => Maintenance and Repair Real Estate => Mortgages Real Estate => Rentals Real Estate => Residential RECREATION REFERENCE RELIGION SCIENCES SOFTWARE Sports Sports => Clubs Sports => Collecting Sports => Teams TAXES Technology Technology => Consultants Technology => Engineering Technology => Research Technology => Science Technology => Services Transportation Transportation => Airline Transportation => Airplanes (Small) Transportation => Automobile Transportation => Boats Transportation => Bus Transportation => Helecopter Transportation => Insurance Transportation => Motorcycles Transportation => Services Transportation => Shipping Transportation => Supplies Transportation => Trains Transportation => Trucks TRAVEL Travel => Agents Travel => Airlines Travel => Associations Travel => Car Rentals Travel => Cruises and Excursions Travel => Hotels Travel => Publications UNITED STATES USA PRIMARIES WEATHER WORLD

---

The Information below is not submitted online and is for payment use only: Check Box of Your Purchase Choice Basic-400  $29.95 1 Web Page submitted to  400+ "Cream-of-the-Crop"  Search engines/indexes. Only $29.95 (USD) Super-8,000   $79.95 1 Web Page submitted to  8,000+ "Cream-of-the-Crop"  Search engines/indexes. Only $79.95 (USD) Deluxe 8,000 Packages Up to 2 web pages submitted to 8,000+ sites  for $89.95 (USD) Up to 2 web pages submitted to 100,000+ sites  for $199.95 (USD) Up to 2 web pages submitted to 300,000+ sites  for $299.95 (USD) Up to 2 web pages submitted to 795,000+ sites   for $399.95 (USD) INFORMATION For OUR records ONLY and Never Given Out To Anyone!: Your Full Name: Company Name: E-mail Address Must be Valid (required): Daytime Phone Number: Address: City: State: Zip: Country: PAYMENT INFORMATION: Payment Method: Credit Card          Check       MoneyOrder Important: If you wish to  send information via post office, Make payments payable to: TargetMan Web Promotions P.O. Box 399 Lubec, ME. 04652 and print out and mail this form with proper payment. Fill out the credit card information below: NOTE: Your credit card statement will show "OceanSide Enterprises" as our merchant agent. Credit Card Type: VISA MASTERCARD Not By Credit Card Name on card: Card Number: Card Exp. Date: MMYY Credit Card Authorization (type 'I AGREEand amount'): Additional Comments: Where Did You Hear About Us?: Search Engines (Enter Name) Direct Email Our Website (Enter URL:) Print Advertising Other Double check your entries above.   Then Click on the Submit Button. Please note that in order for us to process your order, your e-mail address must be valid.        EACH WEBSITE IS INDEPENDENTLY OWNED Copyright ©   TargetMan Agency THANK YOU FOR YOUR ORDER.