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)

 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 _____________________________________________ PHONE: _________________________

REP# ________________________________ 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 | wheretoworshipcom@gmail.com
PHONE: 215 668 2010
The Alphaomega Group, Inc • 295 East Swedesford Road, #288, Wayne PA 19087