Northern Oregon .com Online

Online Order Form

   We do NOT Require a Credit Card, Just fill in below and then we will verify with you to make sure all is correct,
   then we will send out an invoice once all is complete.
   AD can be altered at any time throughout the year (no charge) Just call us.
   Please Check All That Apply.

Url Web Site Link....$79.a year-(From our directory to your web site)
	Enter your URl (web site address)
	Select Desired Page
	Enter Desired Category - If your section requires a category on the page. Example: City, Type, Area, Etc.... or leave blank will take care of it, then verify with you.

Additional Category Url Web Site Link....$49.a year ( extra )
	Select Desired Page
	Enter Desired Category - If your section requires a category on the page. Example: City, Type, Area, Etc.... or leave blank will take care of it, then verify with you.

Top Banner Ad....$50. for six months. Free banner creation & set-up!
Top Banner Ad....$80. for 1 year. Free banner creation & set-up!
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Side Display Ad....$150. for 1 year. Free banner creation & set-up!
Side Display Ad....$100. for 1 year. Free banner creation & set-up!
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AD Page Package....$65.One time set-up. Plus $79.a year to link to your One page website.

Custom Web Site.. (www. your name.com ) We will Call You First

Low Cost Web Site.. (www. northernoregon.com/your name ) We will Call You First

Your Name
Company Name
Address
City
State
Zip
Telephone
E-mail Address. Important You Must Enter E-mail.

Type in Specific Requests, Instructions or Questions Below


Who Referred You? Important Please Enter

   After filling out form click the submit button