Business Listing Form
     
 
         New Jersey Lawyer is please to hear that you will be placing a listing in our Guide to Internet Services 2004-2005 to be published Aug. 2. As a bonus, we will also place your listing in our NJLNews Online Service Directory for 3 months. Below is a form we will need to have you complete and fax back to us to reserve space in the guide and directory and to compose your listing.

 		 
 
Reserve print and online space for my listing for the one-time fee of $139, paid in advance.

Add my Web site link online for $50
Place under additional practice areas for $70 per listing
 
 
Please fill out the form below - This is the order in which the information will be printed in the guide. (Note: 'required' indicates a form field that must be completed)

Select one basic category under which to list your firm: (required)
Business Service Legal Service Experts Products

Company Name: (required)

40 word description of your company's services:



Mailing Address (all required)
Street Address:


City:

State:     Zip code:


Phone: (required)

Email address:

Web link:

Billing Information (all required)

Name Authorizing Listing:

Check enclosed (pay to NJ Lawyer)
Charge VISA / Master Card / AMEX

Card Number:

Exp. Date:      Month:       Year: