ENHANCED LISTING ORDER FORM

Print this form and mail with your payment (check, money order or credit card*) made payable to:

SkilTech, Inc.
P.O. Box 1445
Elkton, MD 21922-1445

Name: _____________________________________________________
E-Mail Address: _____________________________________________________
Your Site: _____________________________________________________
Site URL: _____________________________________________________
Category: _____________________________________________________
Options:
   _____ Enhanced Listing - 6 Months ($50.00)
   _____ Enhanced Listing - 1 Year ($75.00)
   _____ Enhanced Listing with Description - 6 Months ($60.00)
  _____ Enhanced Listing with Description - 1 Year ($95.00)
  _____ Super Enhanced Listing w/ Description - 1 Year ($200.00)
Description (Maximum 300 characters/spaces): 
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Payment:
   _____ Check enclosed
   _____ Money Order enclosed
   _____ Charge to credit card (Visa, Mastercard, American Express)
Card Number: _______________________________________
Exp. Date: _______________________________________
Cardholder: _______________________________________
Billing Address: _______________________________________
City/State/Zip: _______________________________________
 
Note: Credit card orders may be submitted through our Secure Online Order Form and will result in faster processing of your order.