Website Sponsorship
Order Form

Granite Internet Services Inc.
P.O. Box 519,
Pinawa, Manitoba, Canada R0E 1L0

Current Website Address:

http://______________________________________

Name you would like
displayed for the link:

___________________________________________

Please indicate the site(s) that you would like to advertise on:

whiteshell.mb.ca ___ grand.beach.mb.ca ___ pinawa.com ___ bjour.com ___

lacdubonnet.com ___ whitemouth.com ___ pinefalls.com ___

Company Name:

___________________________________________

Contact Person:

___________________________________________

Business Telephone:

___________________________________________

E-Mail Address:

___________________________________________

Mailing Address:

___________________________________________

Briefly describe your business (preferably one sentence). This will be used for the link information:

___________________________________________

Number of links ordered:

_____________ x $100.00 =	______________
*Advertise on all seven web sites for $500.00*
6% GST:	______________
Amount Enclosed:	______________

Would you like Granite to contact you to discuss an update or redesign of your current site?
___ Yes, please contact me	___ No thank you, don't contact me

Please print this form, fill out the information, sign and mail it to the address above along with Payment. Visa or MasterCard accepted. Complete our pre-authorized payment page and include it with this form.

Signiture: ________________________________ Date: _______________

Website Sponsorship Order Form

Website Sponsorship
Order Form