Now that you have read our main page and you want us to Submit
  your URL for you, You will need to fill out this form below. 
  Please make sure to print in clean clear BLOCK letters so that
  we can understand your information.

  PRINT THIS PAGE OUT AND MAIL IT WITH YOUR PAYMENT

  One time submittal $20.00 Two time submittal $30.00

  Please make your payment out to --Roy Rudder-- and mail your 
  payment to the following address.
   4024 Bull Creek Rd.
   Nathalie, Va. 24577
   Ph: 804-376-2542

Please take your time and fill out correctly, 
your information will be submitted based on the 
Information on this form.
Check and then double check the URL before submitting.

Site Details:

Sponsor Id#: ______________________

URL: _______________________________________________

URL Title: _______________________________________________

Keywords: _______________________________________________

Web site description: ________________________________________

______________________________________________________________


______________________________________________________________

Put an X beside the one that Classifies your site

Classification:

Personal Homepage___  Commercial/Business___  Education___  
NonProfit Organization___ Shopping Site___

Category:

Automotive___ Business___ Computing___ Consumer Products___
Education___ Employment___ Entertainment___ Finance___ 
Internet___ Media___ Recreation___ Reference___ Services___
Science and Technology___ Travel___ 

Type:

Advertising/Marketing___ Agriculture___ Communications___
Consultants___ General___ Import Export___ Industrial Goods___
Mail Order___ Office Equipment___ Opportunities___ Resources___
Stock Market___ Wholesale___

Post to Adult sites: Yes ___ No ____
With posting to adult sites you will get over 400 more submittals 

Contact Details

Company Name: _______________________________________________

First Name: _______________________________________________

Last Name: _______________________________________________

Title: _______________________________________________

Email: _______________________________________________

Address: City: _______________________________________________

State: _______________________________________________

Zipcode: _______________________________________________

Country: _______________________________________________

Telephone: _______________________________________________

Fax: _______________________________________________

Toll Free: _______________________________________________

Any questions email: urlsubmit@rrudder.com