Berks County Web Deluxe Listing:  Order Form

Deluxe Banner and Text Listing Order Form

 (you will not be invoiced until you are satisfied with your listing!)

Your Business Name (as you want it to appear on Berks County Web):
Your Name (For billing and invoicing purposes):
   Your Physical Address (as it should appear on the web):
Address ~Line 2 (if needed):
     City:
   State:   Zip:   
Your Business Web Site Address:
Location (URL) of Your Business Logo or Banner (You may also attach this to an email, or we can create it for no additional cost, based on the look and graphics on your web site)
       Your Business Phone Number: 
Your Business Description
(as you want it to appear on Berks
County Web)
Referred By (Optional)
Promotional Code (Optional)
Submit Your Information:
Reset and Start Over:

   

Optional: 
If you prefer, you can print out this page and send it to us through the regular mail.  Either way, whether we receive it electronically or by mail,
we will contact you to confirm your request prior to proceeding with your order, and you will not be invoiced unless you are satisfied with your listing. 
Thanks!

Print This Page!

If you prefer to print this form and mail it,
please send it to:

Berks County Web
Attn: Kevin McCartney, Executive Webmaster
269 Kutz Rd
Fleetwood, PA 19522

(This form is for the enhanced, linked text listing, currently priced at: $125.00 for a twelve month period,
beginning from the date your listing is officially posted and accepted in accordance with your request)

Berks County Web Site Categories: