Name of business:______________________________________Contact:________________________________

Phone:___________________________Fax :_____________________Email:____________________________

Address:____________________________________________________________________________________

City:_____________________________________State:_______________Zip:__________________

 Local business banner    I want_______banners in__________________________________________area’s.
(Draw brief discription of the layout you want the designer to use.)







Background color:__________Image: yes / no Homepage: yes / no Address:_____________________________


With an annual banner or listing with link contract you also receive free home page linking. This is an exclusive web linking to your home page. Please no links or other possible advertisers on your web pages. Failure to meet this criteria will result in a loss of a linking until pages are link and advertiser free. GLAO invests much time and money in bringing customers to view your information, and links only take your potential customers away. Our goal is to promote you and your business and let them make a choice with our costomers. GLAO reserves the the right to change it’s policy on linking at any time.

Text Listing Bottom Line phrase:______________________________________________________________________

Select type of listing:

 Bannner with link      $_6.50_ times #___of businesses or locations a month times 12 months minimum= $____________+

 Text Listing with link $_5.67_ times #___of businesses or locations a month times 12 months minimum= $____________+

 Text Listing only       $_4.00_ times #___of businesses or locations a month times 12 months minimum= $____________+

Home page________ pages Price:____________________________ $ ____________+

Additional:______________________________________________________________________

_______________________________________________________________________ Cost: $ ____________+

$10 Text listing set up charge; $20 banner set up charge: $____________+

Total price: $______________

Date:_________________Signature:_______________________________

Sales Rep.:______________________________