How to List Your Free Offer on BenefitsLink

Cost. Only $50.00 to set up your ad; each month we'll invoice you for $5.00 per lead. (For example, if your listing results in twenty leads in a particular month, your cost would be only $100!)

If you have any questions about this order form, please write Mary Hall at maryhall@benefitslink.com or give her a ring at (407) 644-4146 during office hours (Eastern time). Thanks!

1. Name of company:
   

2. Contact person:
   

3. Contact person's phone number:
   

4. Contact person's fax number:
   

5. Contact person's email address:
   

6. Please enter the text of your free offer below:
   

7. We will be happy to mail an invoice to you for the $50 setup cost, or if you prefer you can pay the setup cost today using a VISA, Mastercard or American Express.

   
   
   

   If You Prefer To Pay $50 Setup Cost By Mail To pay your setup cost by mail (we'll send you an invoice), please tell us how to address the invoice, then click the Submit Listing, Pay by Mail button: Bill to this company name: Purchase order number (optional): Billing address (P.O. Box or street): City, state, zip: Then click this button: If You Prefer To Pay $50 Setup Cost Today Using VISA, MasterCard or American Express To submit and pay your $50 setup cost today using VISA, MasterCard or American Express, click this button and follow the additional instructions you'll see on your screen:

8. We'll mail an invoice to your company each month for the cost of the new leads ($5 each). If you'd like us to use an address other than the address shown above, or if you're using a credit card to pay the $50 setup fee (in which case no address information will have been entered above), please provide the billing address for new leads here:

   Company name:
   Attn: (name of person or department)
   Address (P.O. Box or street):
   City, state, zip: