BAITNET.COM%20WEB%20PAGE%20ORDER%20FORM

1
BAITNET.COM WEB PAGE ORDER FORM In addition to
the information you provide in the blanks below,
please send up to four pictures (no polaroids,
please), your business card, any brochures or
other printed literature about your shop or the
local area, so that we can us design a better web
page for you. For photos, we recommend at least
one inside and one outside picture, so viewers
can get to know your shop ahead of time. Bait
tanks, tackle racks, and view from the parking
lot are some of the best shots to include. You
will also need to choose from one of the
following six options for an ad box on our web
site, so viewers can find your web page. Please
circle one option 1) ad on one State page
15 per year 2) ads on three State pages 40
per year indicate selected states/provinces_______
_________________________ 3) ads on five State
pages 60 per year 4) global ad 50,000
views 60 5) global ad 100,000 views
100 (ads rotate through all pages) 6) global
ad 250,000 views 200 So, to figure your
total cost, please add 60 (web page design fee)
to the option you have selected above, and send
along a check or money order in the proper
amount, US funds only, to Andy
Bartels BaitNet.com P.O. Box 324 La Crosse, WI
54602-0324 Please fill out the form below
completely and accurately! We will send you an
itemized receipt by mail that lists your service
period dates. Owner/Manager Name
(your name will not appear on the website)
_________________________________ Business name
__________________________________________________
________________________ Address
__________________________________________________
_____________________________ City
________________________________________ State
___________ Zip ____________ County
__________________________ Telephone (include
area code) (_____)__________________________ Tol
l free number (_____)_______________________ Fax
number (_____)_________________________ E-mail
address _________________________________________
_____________________________________________ Int
ernet address ___________________________________
__________________________________________________
Regular hours ______ Dates ___________________
__________________________________________________
_ Special hours1 ______ Dates
__________________________________________________
____________________ Do you sell licenses
(Y/N)? ____ Do you sell convenience items
(Y/N)? _____ Miles to gas nearest station?
_____ Nearby waters - names ___________________
__________________________________________________
_______________________ Primary fish species
nearby __________________________________________
______________________________________________
Sell live bait (Y/N)? ____ Bait
selection________________________________________
______________________________________ Sell
tackle (Y/N)? ____ Tackle selection
__________________________________________________
___________________________