DetroitPages.Com Advertising
Starter Web Site Order Form

Please print this order form out, fill in the information below and send it with your payment to the address below.

Name: _____________________________________________________

Address: ___________________________________________________

City:__________________________ St._____________Zip: _________

Telephone: _________________________________________________

Email Address: _____________________________________________

Payment Enclosed: $69.00 per year or $120 for 2 years

Terms: We accept Checks, Money Orders, Concealed Cash - Your risk, and Credit cards. If payment recieved is by check then we require 10 days for the check to clear, We will contact you either by phone or in person after we recieve your payment, to create the site you will need to submit a couple photos or we can come out and take a couple (Detroit area ONLY!), we work with you through each step of the process - it usually takes up to 30 days to complete the process, No hate sites will be allowed, we reserve the right to deny advertising to anyone, if we do refuse your offer - we will return payment with an explanation. To mail your payment use the address below,

Make Check or Money Order payable to:
Nationwide Plastic Inc.
P.O. Box 3375
Melvindale, Michigan, 48122

Enter your credit card information below, we accept Visa, Master Card, Discover and American Express. (Note:) Charge will appear as Nationwide Plastic Inc. on your bill.

Card Type:_________ Credit Card Number:_________________________________

Exp. Date:___________CID#(if applicable-Required for discover)__________
(Note:) Card type= V-Visa, MC-Mastercard, D-Discover, AE-American Express
CID# is the 3 digit code on back of card (Last 3 digits in white box).