SECURE WEB PAGE ORDER FORM

YOUR BUSINESS WEB PAGE

SECURE ORDER FORM

........

Your Name

E-mail (required)

NOTE: Both your name and e-mail won't show on your page, unless you enter it again in the TEXT area below.

How did you find us? Thanks!

CHOOSE your new URL (your web address). Your URL will look like this: https://www.1second.com/nameofyourchoice.htm. Yourname can be any name of your choice. Note: URLs are case sensitive and no spaces or odd characters (%$#@,.) are alllowed. Please enter your choice of the name here:

HEADLINE of your page: (BOLD name of your business or offer).

ONE SENTENCE DESCRIPTION: (maximum 20 words). Both HEADLINE and ONE SENTENCE DESCRIPTION will be posted on American Business & Opportunities PREMIER LISTINGS PAGE and hot-linked to your new web page. This means traffic!

TEXT OF YOUR WEB PAGE. TIP: Don't forget your contact information, i.e., e-mail address, phone/FAX, and/or your mailing address within your text, to ensure maximum response. Please keep to maximum 750 words . (About one 8 1/2" x 11" page of text.)

See ALL THE DETAILS/OPTIONS if ordering additional features.Also please check your spelling and grammar before submitting.

I will e-mail my own logo or graphic. (It should be in GIF or JPG format and not exceed 30K). We'll email you the detais after you submit this form.

I have no graphic/logo available. (We will use appropriate graphic(s) from our graphic library.)

I will send a photograph or print of my logo/graphic by regular mail. Scanning fee of $15 applies for each picture. Your photographs should be of good quality and no larger than 10" x 8".

If you have any design preferences for the background color of your page, text colors or graphics, please indicate them below. Otherwise we'll choose the background, text colors and graphics most appropriate for your page and your business.

Mark this field if you order more than one Business Web Page. Each additional Web Page- 30%off!! ($69.00) at time of purchase. Please note you must pay full price for the first page. Submit each page separately.

SELECT: Please note we only accept a ONE TIME, full year pre-paid option. (No monthly payments.)

Here you can write other instructions, if any, (such as additional counter, order forms etc.):

CREDIT CARD INFORMATION

MasterCard Visa	Card Number:
	Expiration Date: (mm/yy)
	CVV: (last 3 digit number on the back of your card)
	Total US$ amount to be charged to your card.
Your Name (exactly as on card):
Address:
Address 2:
Phone No.:
Country:
City:		State:	Zip
Other Comments: To order please click on submit order button (only once)

ONLINE SINCE 1996