Food Info Net Order Form

1. Contact information 
   
   Name____________________________ Title _____________________________

   Company Name______________________________________________

   Business Address _________________________________________

   City/State/Zip________________________________ Country________________

   Phone ________________________ Fax ________________________ Email Address _____________________
    

2. Select ad options 
    

   Category	Service Plan	Price	Discount%	Final Price
   Total
   Total (after additional 20% saving for 3 or more ads ordered)

   Sample:

   Category	Service Plan	Price	Discount%	Final Price
   Buyer's Guide	Gold	$1,500		$1,500
   Button Ad	12 months, Homepage	$2,000	20%	$1,600
   Standard Banner	12 months, Section,	$1,200	20%	$960
   Total				$4,060
   Total (after additional 20% saving for 3 or more ads ordered)				$3,248

3. Send payment

ÿ Payment enclosed. Check, money order or purchase order (Payable to Food Info Net)
ÿ Please bill my company (Subject to credit approved).
ÿ Charge my   ÿ Visa ÿ MasterCard. ÿ Discover ÿ American Express
Cardholder’s Name _______________________ Authorized Signature _________________
Charge Card Acct. No. ________________________ Expires ________________________

4. Send ad materials.  Please email all ad materials to ads@foodinfonet.com