1.  Contact information:  

First name
Last name
Middle initial
Title
Business Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Business Phone
Reservations Phone
FAX
E-mail
URL

2.  Business Type

Please indicate the type of business.
(For example, B&B, Restaurant, Hotel, Museum, Theatre, Outfitter, Ranch, Tour Operator, Resort, Guide, Chamber of Commerce, Newspaper...)

Type of Business

3.  Start Date:

Enter the start date for your listing to be published :

4.  Business Description:

Please enter the description of your business in the box below:

5.  Additional Comments:

Please add any additional comments you would like to make in the box below:

Congratulations!  You have now completed the Order Form for a linked listing with a one-paragraph description.

6.  Submit Your Listing Information

Click the "Submit Form" button below to submit your information online (click the button just once).  Or, if you prefer, print this page and send it to us via Fax (509-255-9961) or regular mail.

7.  Payment

You may submit your payment of $49.00 in US funds by check or credit card.

Check:  Please make your check payable to Go Northwest in the amount of $49.00 in US funds.  The mailing address is:

Go Northwest
P.O. Box 709
Liberty Lake, WA  99019

Credit Card:  Please submit your credit card information by telephone: 509-255-9689 or 206-715-1704; Fax: 509-255-9961; or regular mail.  The information must include the following:

Account Number  __________________   Expiration Date: _____

Name on the Card: _________________________

Mail Address as it appears on your credit card statement:

Street: __________________________

City: ______________  State: _______  ZIP: ___________

Please feel free to contact us by email at info@gonorthwest.com, or, telephone us at 509-255-9689 or 206-715-1704 during normal business hours if you have questions or wish additional information.

Thank you for your participation on Go Northwest!  We look forward to carrying your listing and bringing more visitors to your web site.

Sincerely,

Jack C. High
Editor and Publisher
GoNorthwest.com
P.O. Box 709
Liberty Lake, WA 99019
Voice: 509-255-9689 or 206-715-1704
Fax: 509-255-9961