Order Form


newloop2.gif (7467 bytes)  Search Engine Registration

(Arizona Residents add $1.36 sales tax $21.31 total)

 Your Name:  
(Must Match credit card Billing address)
 Zip Code:  
 Email Address:
(conformation will be emailed back)
 Web Address:
(Http://www.Your site.com)
 Phone Number:
 Fax Number:

SKAGOLD2.gif (159389 bytes)


  Search Engine             Registration     $19.95

Item 2

Item 3

Credit Card Orders

Payment Information:

Credit Card:

Credit Card Number:

Expiration Date:

The Charge Will appear on your Credit card Statement as
Steve Karas and Associates

<BACK> TO Steve Karas's HOME PAGE

Fax Order
To order by fax Print this order form and fax it to 602-494-9134

Mail Order
Print this order form and Mail it along with your check to
Steve Karas and Associates, 3341 E Turquoise, Phoenix, Az.  85028

<BACK> TO Steve Karas's HOME PAGE

Copyright 1997 Steve Karas. All rights reserved.
This page was Designed, is Hosted and Maintained by Steve Karas and Associates SKAGOLD2.gif (159389 bytes)