Quick-Link Form

www.WhereToWorship.com | Quick-Link Form • (print out, fill out, mail in)
PART A
Free Directory Listing - To be listed FREE on WhereToWorship.com please COMPLETE PART A.
NAME (CHURCH OR ORGANIZATION)

_________________________________________________________________________________________________________________________
ADDRESS

_________________________________________________________________________________________________________________________
CITY STATE ZIP

_________________________________________________________________________________________________________________________
PHONE / FAX / EMAIL / WEB ADDRESS : http://www.

_________________________________________________________________________________________________________________________
PASTOR / DIRECTOR NAME AND TITLE PHONE

_________________________________________________________________________________________________________________________
BRIEF DESCRIPTION OF CHURCH OR ORGANIZATION
(Attach separate sheet OR write on reverse side if necessary)

PART B
LinkUp: To link your existing church or organization’s website to the FREE listing on WhereToWorship.com continue filling out this form, completing BOTH PART A and PART B:

 Yes, I would like to LinkUp with WhereToWorship.com. I agree to submit payment as stated below:
 ANNUAL: $100 ($8.34 PER MONTH) |  SEMI-ANNUAL: $60 ($10.00 PER MONTH) |  MONTHLY: $12
 PAYMENT ENCLOSED check cash money order
CREDIT CARD VISA MasterCard AMEX —
CREDIT CARD # ______________________________________________________ EXP DATE _________

PART C
Web Page: If you do not have a website and would like to LinkUp your church or organization’s to the FREE listing on WhereToWorship.com, please continue filling out this form completing PART A, PART B and PART C. We will develop a Web Page for you with the following information :

• *Up to three photos OR logo (color or b/w) including your building (inside or outside), pastor or director, other staff.
*Images MUST BE high quality! We will contact you if we are unable to use what you provide.
• Location, contact information, and brief description (SEE PART A).
• Schedule of services, weekly schedule and services available.

Yes, I would like a Web Page to LinkUp with WhereToWorship.com. I will submit payment as stated below:
 Not right now. I need more information. MAIL EMAIL ___________________________________________ .

ANNUAL: $150 ($12.50 PER MONTH)  SEMI-ANNUAL: $87 ($14.50 PER MONTH)  MONTHLY: $16
 PAYMENT ENCLOSED check cash money order | CREDIT CARD VISA MasterCard AMEX —
CREDIT CARD # ______________________________________________________ EXP DATE _________

I authorize The Alphaomega Group, Inc., to perform the services and agree to submit the stated fees as indicated above.

NAME/TITLE _______________________________________________________________________________________________

SIGNATURE ______________________________________________________________ DATE ____________________________

INDEPENDENT REPRESENTATIVE LYNETTA JORDAN PHONE: 252 337 7797

REP# w0503lyjor LinkUp# _______________________________
Terms and Conditions: WE, The Alphaomega Group, Inc. agree to provide the above services in a timely and professional manner upon receipt of payments as agreed above. We are not responsible for fraudulent or incorrect information supplied by YOU the customer. We reserve the right to reject or discontinue service at our discretion, fully returning all REMAINING fees submitted. We will refund remaining fees submitted if you wish to discontinue this agreement within 30 days of signature date, upon receipt of written request on company letterhead. Any changes or additions to Web Page during this agreement will be subject to additional charges NOT specified.

MAIL ORIGINAL TO THE ALPHAOMEGA GROUP — MAKE COPY FOR YOUR RECORDS | PHONE: 610 832 4785 | FAX: 215 893 4635
The Alphaomega Group, Inc • 295 East Swedesford Road, #288, Wayne PA 19087