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Sponsorship Submission Form

The following form is designed to enable you to quickly and easily become a Natural Health Web Online Sponsor. In order to become a Sponsor, please fill out and submit the form below.

Sponsorship status provides the ability to add a description of your website to the Natural Health Web website directory. The name of your website, a hyperlink back to your website and the description of your website will be placed prominently near the top of the categories chosen under the title "Sponsor Websites". We will update NaturalHealthWeb.com with your information within 48 hours of receiving your order.

There are several pricing models available to become a Sponsor of the Natural health Web website.

The standard sponsorship rate is $50.00 per Topic or Category per year for the first topic area.
There are discounts available for sponsoring multiple topic areas:

Two Topic Areas costs $80.00 ($40.00 per topic)
Three Topic Areas costs $100.00 ($33.00 per topic)
Four Topic Areas costs $125.00 ($31.00 per topic)
Five Topic Areas costs $150.00 ($30.00 per topic)
Six Topic Areas costs $175.00 ($29.00 per topic)
Seven Topic Areas costs $190.00 ($27.00 per topic)
Eight Topic Areas costs $200.00 ($25.00 per topic)

Sponsorship Headline       (10 words):
Your Site URL:

Sponsorship Description       (30 words):

Category # 1:
Category # 2:
Category # 3:
Category # 4:
Category # 5:
Category # 6:
Category # 7:
Category # 8:

We accept Mastercard, Visa and American Express. If you wish to use our service, please order now as we can only accept a limited number of orders per week to maintain quality control. If paying by check, please print out a completed form and mail it with your check to Self Improvement Online, 96 Linwood Plaza, Suite 264, Fort Lee, NJ 07024. If you have any questions about our service, please write to us or call us at 1-732-761-9930.

Please provide the following information:

Contact Name: 
Company:
Address:
City, State, Zip:  
Contact Email:
Phone Number: 
Credit Card Type: Mastercard VisaAMEX
Name on Card: 
Card Number:
Expiration Date:
I authorize you to charge the following amount to my credit card(All Charges in US Dollars):

Please add any additional notes/comments/suggestions:

 

 

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