Put your business on the Shop Burbank directory.
Shop Burbank basic:
One Internet Page (sample)
• One Photo
• Company Name
• Address & Phone Number
• We will design the page for you!!
 • Your Internet address will be: (example)
www.shopburbank.com/y/yourname.html
• $20.00 Per YEAR.
• $25.00 Start-up/page change fee
• Optional $25.00 Coupon design/hosting fee
Shop Burbank Domain:
• 10-20 internet pages (sample)
• No Charge for coupon advertisement
• Internet Dial-up access & software for your computer
• 2 Megabytes of storage
• We will design two pages for you!!
    (Scanning & designing)
• Your Internet address will be: (example)
www.shopburbank.com/YourCompanyName
• $20.00 per month (1 year commitment)
• $75.00 Start-up fee
• $25.00 Page creation/change fee
Sign-up for Shop Burbank
• We will contact you by telephone to arrange taking photographs and other material needed to create your Internet advertising pages.
• We will also need to know what coupon you would like include in our Shop Burbank coupon section.

(Fill in the information below
and select the "Send my request" button)

Services requested

Name:
email: (optional)
Company:
Address:
City: State: Zip:
Phone:
FAX:
Shop Burbank Basic customers - no further information required.
Shop Burbank Domain Customers continue
Credit Card #: Exp: Visa/MC/Discover/AX
Login Name: This is your e-mail name also
Password: Your secret code word
Domain Name: For Domain customers only (www.shopburbank.com/YourCo)

What type of computer do you have?

Software

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