[% META title="Importer's Paradise Premier Listing Form" %]
<TABLE WIDTH="100%" border="0">
<TR  VALIGN=top><TD VALIGN=TOP width="30%">
<FONT FACE= "arial,helvetica">
<FONT SIZE=4><B>Companies:</B></FONT><P>
<A HREF="[% site.url.root %]/corp-ben.html">Advertising benefit</A><BR>
<a href="[% site.url.app %]/ip_add_company">Companies Free listing</a><BR>
<a href="[% site.url.root %]">Change listing</a><BR>
<A HREF="[% site.url.root %]/corphelp.htm">Help</A><BR>
<A HREF="/">Back to main</a></FONT>
</TD><TD width="70%" align=center>
<br clear=all>
<FONT SIZE=5>Premier Listing Data</FONT><BR>
Please select which of the options you want below.
</TD></TR></TABLE>
<P><HR><P><BR>
<FORM NAME="ipcom-pre" METHOD="POST" ACTION="/cgi-bin/FormMail.pl">
<input type=hidden name="recipient" value="webman@emax.ca">
<input type=hidden name="subject" value="Form Response">
<input type=hidden name="redirect" value="response.htm">
<input type=hidden name="missing_fields_redirect" value="error.htm">
<DIR><CENTER><TABLE BORDER="0"> 
<TR><TD COLSPAN=2><FONT SIZE=4><B>Order Form</B></FONT></TR></TD>
<P><TR></TR><TR></TR>
<TR>
<TD align=LEFT>9.99/year</TD>
<TD>
<INPUT TYPE="checkbox" NAME="hotlink">
Create a hotlink to your company's webpage.
</TD>
</TR>
<TR>
<TD align=LEFT>25.00/year</TD>
<TD>
<INPUT TYPE="checkbox" NAME="top">
Place your company's listing in front of regular listings.
</TD>
</TR>
<TR>
<TD align=LEFT>9.99/year</TD>
<TD>
<INPUT TYPE="checkbox" NAME="bold">
Get your company name bolded and highlighted.
</TD>
</TR>
<TR>
<TD align=LEFT>9.99/year</TD>
<TD> 
<INPUT TYPE="checkbox" NAME="logo">
Display your company logo together with your listing.
</TD>
</TR>
<TR>
<TD align=LEFT>9.99/year</TD>
<TD>
<INPUT TYPE="checkbox" NAME="website">
Get a company website.
</TD>
</TR>
<TR>
<TD align=LEFT>9.99/year</TD>
<TD> 
<INPUT TYPE="checkbox" NAME="feature">
Enter the rotation as a Featured Company
</TD>
</TR>
<TR>
<TD align=LEFT>25.00/year</TD>
<TD>
<INPUT TYPE="checkbox" NAME="banner">
Display a banner on the Importer's Paradise page.
</TD>
</TR>
<TR><TD colspan=2>
<hr>
</TD></TR>
<TR>
<TD align=LEFT>50.00/year</TD>
<TD> 
<INPUT TYPE="checkbox" NAME="premier">
<B><FONT COLOR="red">OR</FONT>
get it all with this great package deal,<BR>
and save $50 per year!</B>
</TD>
</TR>
</TABLE></DIR></DIR>
<p><center><TABLE align=center CELLSPACING="5" CELLPADDING="0" >
<TR><TD colspan=2><font size=4><B>Company Information</font></B></TD></TR><P><BR><TR></TR><TR></TR>
<TD>Company Name:</TD>
<TD><INPUT TYPE="text" NAME="companyName"></TD>
<TD>Company Address:</TD>
<TD><INPUT TYPE="text" NAME="companyAddress"></TD>
</TR>
<TD>City:</TD>
<TD><INPUT TYPE="text" NAME="companyCity"></TD>
<TD>Country:</TD>
<TD><INPUT TYPE="text" NAME="companyCountry"></TD>
</TR></TR>
<TD>Contact Name:</TD>
<TD><INPUT TYPE="text" NAME="realname"></TD>
<TD>Phone:</TD>
<TD><INPUT TYPE="text" NAME="contactPhoneAsEntered" >
</TR>
<TR>
<TD>Fax:</TD>
<TD><INPUT TYPE="text" NAME="contactFaxAsEntered">
<TD>E-Mail:</TD>
<TD><INPUT TYPE="text" NAME="email" ></TD>
</TR>
<P><BR><TR></TR><TR></TR><TR><TD colspan=4 align=center valign=middle>
<INPUT TYPE="SUBMIT" VALUE="Submit Form"></FORM>
</TD></TR></TABLE>
<P>
<center><FONT FACE= "arial,helvetica">
<A HREF="mailto:webman@emax.ca">Comments/Questions?</A><BR>
<a href="/">Back to Main</a></FONT></center>

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