Sponsored Listings
#4 - Bronze:  Linked Listing

1. Date of Submission :

   -- mm/dd/yy

    

2. Choose one of the following options:

   Add Listing
   Change Listing

    

3. Please provide the following contact information:

   First Name
   Last Name
   Middle Initial
   Title
   Organization
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Work Phone
   Toll-free
   FAX
   E-mail
   URL

4. Type of Business

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

   Type of Business

5. Additional Comments:

   Please add any additional comments you would like to make in the box below.  (Note: To add a description of your business, please fill out our form for "Listing with Description".

   
   

   Congratulations!  You have now completed the Order Form for a linked listing.

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 $29.00 in US funds by check or credit card.

   Check:  Please make your check payable to Go Northwest in the amount of $29.00 in US funds.  The mailing address is:

   Go Northwest
   P.O. Box 8037
   Spokane, WA  99203

   Credit Card:  Please submit your credit card information by telephone: 509-838-2377 or 206-715-1704; Fax: 509-838-0871; or regular mail.  The information must include the following:

   Account Number  __________________   Expiration Date: _____

   Card ID Number (back side of card):  _____

   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 509-838-2377 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 8037
Spokane, WA 99203
Voice: 509-838-2377 or 206-715-1704
Fax: 509-838-0871