Name of Business:______________________________________________________________

Address: __________________________ City/Town: __________________________________

State: ____Zip Code: ______ Phone#: _______________ E-Mail: _______________________

Owner's Name: __________________________ Type of Business: ______________________

Contact Person: ___________________________ Web Site: ____________________________

Landing page(s): _________ Set-Up Fee: $_________ Monthly Fee*: $___________

List of Key words and phrases: will be provided on the Landing page web site needed Y / N

I agree to pay the monthly fee for the service provided and realize that the failure to pay the fee on time will result in the cancellation of this agreement and the removal of your business from the ranking service. This cancellation could also keep you from being resigned with Rank Me 1st.com. Removal will require a second set-up fee before being added back into the system. The sample sites you were shown are used for demonstration purposes only and show how other sites have faired using this program. The time table to move a site up the ranking is not the same for every business and every location, longer or shorter time period may be used for your business. Rankings are in continuous flux and will change daily. We do not guarantee exact results, ranking or timetables. This service is, because of it's nature a completely random service and not controlled by ranking services, including Rank Me 1st.com.

Owner's Name: _____________________________ Date:_________ Setup Paid: $_________

Salesperson: ____________________________________Date: ________

* The monthly fee will be determined on the number of phrases on the first 3 pages your web site.

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