Arab Family-Order Form

Order Form
Arab Family Web Site & Directory

How to use this Form:

Use one Form per ORDER. To reduce "Banner", click on its "UPPER" right arrow.

Type in the Form, on screen response, (fill out applicable blanks).

Press "TAB" to move between blank spaces. When finished, please print the Form.

Preferred payment: Check drawn on an American bank.

Acceptable payment: International Money Order by using your country's currency. Our bank will send the Money Order back to country of origin for collection. The process usually takes about 3-4 weeks.

Your Order and Fees: (please type x in appropriate boxes)

	Listing in Arab Family Web site & Directory:	$195/Year Special Fee / (Reg. Fee: $455/yr)
	Arabic Web Page Development (Up to 200 words):	$99 Special Fee/ (Reg. Fee: $189)
	To view Arabic samples: Click on JPEG SAMPLES

TOTAL Special Fee: $195/yr + $99 (Arabic Web Page) = $294
or TOTAL (selected boxes above): $
Date. Check Number

ORDER INFORMATION: (Please complete only applicable information)

Name	Title
Company
Address
City
State	Zip Code Country
Area Code	Telephone number FAX number
E - Mail Address
Web Site Address

Please Print Completed Form And Mail It With Your Payment To:
Doctors' Marketing Service
P.O. Box 748, Lake Forest, California 92630-0748, USA
(949) 472-3767

Click Back To Home Page

		Use one Form per ORDER. To reduce "Banner", click on its "UPPER" right arrow.
		Type in the Form, on screen response, (fill out applicable blanks).
		Press "TAB" to move between blank spaces. When finished, please print the Form.
		Preferred payment: Check drawn on an American bank.
		Acceptable payment: International Money Order by using your country's currency. Our bank will send the Money Order back to country of origin for collection. The process usually takes about 3-4 weeks.