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Whited Services * 112 Mol Senia Lane * Round O, SC 29474
843-835-5290

NOTE: We never sell, transfer or in anyway give out and/or divulge our clients', or perspective clients', information.

* Required Fields

Your Company Name  
Your Title (owner, CEO, President, Etc.)
* Your Name

* Mailing address

* Your Email Address
*Phone:  Fax:
Where did you hear about us?


(Name of Search Engine, Advertisement, Friend, Representative called on me)

 
* What would you like to say in your ad?

No profanity No pornography
I reserve the right to refuse any and all text

<Question about your ad?>

 

Make Check payable to: Whited Services.


After you click the "Submit Form" button below, Print two copies of this page... sign where indicated then mail one copy with your check to:
Whited Services
112 Mol Senia Lane
Round O, SC 29474
Each Web Page Includes
  • Your unique web address
  • Customer supplied photograph (viewed 3" x 3")
  • Customer provided text, (500 words or less)
  • No more than 60 lines per page

Service period: Begins on your requested date and runs 30 consecutive days. No rebate or refund for early termination.
Renewal: If you wish to renew your page you MUST make payment on or before expiration to avoid RENEWAL FEE of $25.00.

Web Page $35.00 Per Month
Setup Fee No Charge One Time Fee
Renewal Fee No Charge On Time Pay
Renewal Fee $25.00 Late Pay
Addition Pictures $10.00 each

One Time Fee

Amount of enclosed Check #_______________ *Required Field
* $

 

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Signature

 

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Date


After you click the "Submit Form" button, Print two copies of this page... sign where indicated then mail one copy with your check to:
Whited Services
112 Mol Senia Lane
Round O, SC 29474

 

     
Hosted By: www.whitedservices.com
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© 2003 - 2005 ©
May 24, 2003