Web Positioning - Application Form

Please complete the simple form below to sign up for a Web Positioning Campaign.

1. Find Your Address

Country

Postcode

2. Your Details

First Name

Last Name

Company

Email Address

Telephone
(Please include the STD code)

Address Line 1

Address Line 2

City / Town

County

3. Your Website

Website URL

Targeted Keyword / Phrase 1

Targeted Keyword / Phrase 2

Targeted Keyword / Phrase 3

Targeted Keyword / Phrase 4

Targeted Keyword / Phrase 5

Comments / enquiries

By submitting your details, you agree to the use of your personal information as set out in the Privacy Policy. This includes for the purposes of administering our web site services, placing orders, competitions/prize draws and for fraud prevention. Your details will also be used in our marketing programme if you indicate such by ticking the box below.

We do not supply your details to any third parties unless you specifically ask us to.

I wish to Opt-In to your mailing list and receive the email(s)/newsletter(s) containing all the latest offers/products/competitions, and to be kept informed about products and services on offer.

Click the button below to make a secure payment of Ł678 (Ł565 plus VAT). The transaction will be placed on hold and only authorised once we have confirmed we can undertake the campaign. If you are based in Europe and you provide your Vat Number in the comments box above the Vat element will not be charged (classed as Zero rated).

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Web Positioning - Application Form

1. Find Your Address

2. Your Details

3. Your Website

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