Please provide the following information PRECISELY AS INDICATED BELOW: (∗ = Required Fields)

I have placed your 125 x 125 or 468 x 60 banner on a page with a PR of at least 3 and Alexa below 500,000 as described in our Free Submission offer. URL Location of the Banner - (http://...) ∗

Your Information: Your Name/Company Name ∗

Your Address (optional)

Your Phone Number (optional, but sometimes very helpful)

Your Email Address where we may contact you at ∗

Your Notes to us (optional, anything you want to tell us...)

Information about the Site being Submitted: (It does not need to be the site where you've installed our banner) Your Site's Current Google PageRank (PR) - if known (optional) (0 - 10)

Email Address where you will receive Pending and Approved Confirmations from Directories You may create a special email address for this purpose Preferably that of your Domain (Email@YourSubmittedDomain.com) Using your Domain's email address will greatly improve the Approval ratio ∗

Your Site's URL Home Page only! (www.your-domain.com) Do not submit: www.your-domain.com/another-page-on-your-domain.html ∗

Your Submission Name Name, Company Name or Your-Domain.com ∗

Your Submission Password At least 8 characters with at least one Number and one Capital Letter ∗

Title(s) Your Site's Title(s). You may provide up to 30 Titles. (minimum 8 characters per Title, maximum 40) Capitalize the First Letter of Each Main Word ONLY. Separate EACH Title with "#" (Title#Title#Title) (No spaces between titles and no returns!!!) ∗

Description(s) Your Site's Descriptions. Ideally: 1 consisting of at least 135 characters, 1 consisting of approx. 185, 1 consisting of at least 205 and 1 consisting of at least 255 characters. You may provide up to 30 Descriptions if you wish. If providing only a few descriptions, make sure that they are unique. Separate EACH Description with ".#" (e.g., Description.#Description.#Description.) DO NOT use the Domain or Company Name in your Description. DO NOT use I, My, We, Our, Us, Best, !, Prices or Phone Numbers. Capitalize ONLY the first Word of each sentence. (No spaces between descriptions and no returns!!!) ∗

Keywords List up to 8 Keywords for your site. Do not repeat the same word more than twice. Separate EACH Keyword with "," (e.g., watches,jewelry,gifts,shopping,accessories) Do Not Capitalize! (No spaces between keywords and no returns!!!) ∗

Main Categories List ONLY appropriate MAIN Categories Separate EACH Category with "#" (e.g., Shopping#Shopping Online#Gifts#Internet#Personal Accessories) Example: if you are selling bras and lingerie, your Main Category is IS NOT Bras or Lingerie. It would be Shopping or Shopping Online. (No spaces and no returns!!!) At the end, add another # sign, copy and paste the entire content of the next field. ∗

Sub-categories List AS MANY Sub-categories AS YOU CAN. (Minimum 5) Separate EACH Sub-category with "#" (e.g., Watches#Accessories#Jewelry#Gifts#Rings#Gold#Diamonds) (no spaces and no returns!!!) Example: if you are selling Bras and Lingerie, your Sub-Category is IS NOT Bras or Lingerie. It would be Clothing or Women's Clothing. (No spaces and no returns!!!) At the end, add another # sign, copy and paste the entire content of the previous field. ∗

2 to 7 VERY Related Sub-categories List 2-7 very related Sub-categories that clearly categorize your site or business. Separate EACH Sub-category with "#" and CAPITALIZE the first Letter of each word. (e.g., Jewelry#Accessories) (No spaces and no returns!!!) ∗

Something to think about... before you click Submit. We STRONGLY recommend that you READ each field's instruction notes carefully, BEFORE clicking the submit button. Customers that follow the above rules usually get at least a hundred more backlinks than those that do not.