ClayLive.com Order Form
Listing at Clay County's Best Websites
Person/Business Placing Order.....
NAME
ADDRESS
CITY/STATE/ZIP
Phone/Email
_____ $10.00 (ten dollars) for two listings for six months. (title and one category)
_____ $15.00 (fifteen dollars) for three listings for six months. (title and two categories)
_____ $20.00 (twenty dollars) for four listings for six months. (title and three categories)
_____ $25.00 (twenty-five dollars) for five listings for six months. (title and four categories)
_____ $30.00 (thirty dollars) for six listings for six months. (title and five categories)
Mail to: Jim Wilson - 12444 North Highway 421 -- Manchester, KY 40962
Make checks or money orders payable to: ClayLive
(Use one order form per item. If you order more than one item, send all order forms in one envelope and use one check or Money-Order.)
Please print the URL (website address) of your website:
If you are placing an order for a claylive.com website leave this blank.
http://________________________________________
Please print the catagory(s) and title of your website.
Title: ______________________________________________
Category #1: ___________________
Category #2: ___________________
Category #3: ___________________
Category #4: ___________________
Category #5: ___________________