IHR Website Promotion Order Form IHR Company Home Page | IHR Web Site Promotion Complete and submit this Order Form so that IHR will send highly qualified infertility traffic to your website. By completing this form you are agreeing to the Promotional Linking Services Agreement. 1. Review IHR Charges: Charges for IHR website promotion For flat-fee listings (i.e., fixed monthly price), the service period is six-months, payable in advance. 2. Select one or more IHR Web pages where you want to be listed: A. IHR.com Infertility Resources pages are targeted toward consumers/patients: TIP: To obtain additional traffic, many of IHR's clients order promotional listings on multiple IHR pages. For example, an infertility clinic might order listings on the Infertility Clinics page and the Egg Donor / Surrogacy page. Infertility Clinics Egg Donor and Surrogacy Programs Tubal Reversal Doctors Vasectomy Reversal Doctors Counselors and Consultants Natural Infertility Treatment Services Preimplantation Genetic Diagnosis ( PGD ) Programs Male Infertility Doctors Sperm Banks Pharmacies Selling Infertility Drugs Human Egg Freezing Programs Lawyers Infertility Products - for Consumers Financial Options Embryo Adoption Programs Nursing Services - Injections Adoption Agencies Right-side grey adbar listing on all pages B. Specialized male infertility websites are targeted toward male patients: VasectomyReversalSpecialists.com provider pages MaleInfertilitySpecialists.com provider pages VaricoceleSpecialists.com provider pages C. InfertilityProfessionals.com pages are targeted toward infertility professionals: Suppliers of Products and Services Right-side grey adbar listing on all pages 3. If your ad will appear on an IHR web page that contains state listings, then enter the state/metro area where you want to be listed: TIP: To obtain additional traffic, many of IHR's clients order IHR.com promotional listings in multiple states. For example, on the Infertility Clinics page, a client might order listings in New York, New Jersey, and Connecticut (three listings, at $45/month for each listing). 4. Select the total number of promotional listings you want to order: 1 listing 2 listings 3 listings 4 listings 5 listings 6 listings 7 listings 8 listings 9 listings 10 listings If you want more than 10 listings, contact IHR for volume discounts 5. Enter a maximum 25-word description for each listing: Descriptions should state your unique benefits and advantages to site visitors Descriptions cannot contain comparative superlatives about success rates, such as "highest success rates in the U.S." Additional information in IHR Guidelines for Promotional Descriptions 6. Enter the Web address (URL) of your Web site page that you want listed: 7. Enter the following information about you and your organization: Your Name (First, Last): Your Title: Organization: Your Telephone: Your Email Address (required): 8. Enter billing information: Billing Contact Name (First, Last): (If different from your name) Billing Street Address: City: State: Zip: Country: Billing Contact Telephone: (If different from your telephone) 9. Enter any special instructions below, such as: If you're ordering listings in more than one state, enter the states. If you want different descriptions for each of your listings, enter the different descriptions. If you're ordering a Pay Per Click Listing, enter the per-click charge you will be paying. 10. Provide payment information: For Flat-Fee listings: payment by credit card or check is acceptable service period is six-months, payable in advance For Pay Per Click listings: credit card payment is required service period is monthly, payable after the service Purchase Orders are acceptable. When the next payment is due, IHR will automatically send an invoice. Then, if paying with credit card, IHR will charge the credit card number on file, a few days later. You can cancel the service at any time. Please provide at least 15 days notice. a) If paying by credit card, complete the following information in this secure order form: We accept: Cardholder name: Card number: Expiration date: Customer code: Code located on the back of your credit card b) If paying by check, click here : Send check (payable to "Internet Health Resources") to: Internet Health Resources 1133 Garden Lane Lafayette, CA 94549 11. Click on the Submit button below. By completing this form you are agreeing to the IHR Promotional Linking Services Agreement.