Dept. #_____________

                                        

                                        Registration Form             

        

   Here at CowgirlUSA we plan on being the Best Human edited website Directory.

         There are 500 million IP Addresses and Our Goal is to Invite them all. 

                  Register all your website for only $21 each for the first year.

                                 For, Items, Services, and Manufacturers

                                For travel, tourism and calendar of events.                                                                                 www.cowgirlusa.com

                                 And for holiday and crafts websites.

                                     www.santasatcowgirlpaulas.com    

                        Brought to you by  www.palmercommunications27.com

Name:_____________________________________________________________

Address:___________________________________________________________

City:______________________________________________________________

State:________________________________Zip:__________________________     

County Name:______________________________________________________

Phone #::(______)___________________________________________________

Contact's Name & Email:______________________________________________

Website Registering:_________________________________________________

                                               1 Year Registration $21

                                               2 Year Registration $32

                                               3 Year Registration $43

                                              Lifetime Registration $99

Refer 11 of your Favorite Websites.:& those who register you earn 25%, and 4             Who Invited you will receive 50% &  www.cowgirlusa.com will receive 25%

                                              *Refer 100 if you like.*

        1:________________________ E-Mail:_____________________________

        2:________________________ E-Mail:_____________________________

        3:________________________ E-Mail:_____________________________

        4:________________________ E-Mail:_____________________________

        5:________________________ E-Mail:_____________________________

        6:________________________ E-Mail:_____________________________

        7:________________________ E-Mail:_____________________________

        8:________________________ E-Mail:_____________________________

        9:________________________ E-Mail:_____________________________

      10:________________________ E-Mail:_____________________________

      11:________________________ E-Mail:_____________________________

Please list 11 categories that your website may be listed under.

  1:________________________________________________________________

  2:________________________________________________________________

  3:________________________________________________________________

  4:________________________________________________________________

  5:________________________________________________________________

  6:________________________________________________________________

  7:________________________________________________________________

  8:________________________________________________________________

  9:________________________________________________________________

10:________________________________________________________________

11:________________________________________________________________

As a special Thank You when your registration is finished, we will be sending you our Communications Marketing Report 2012 & a free www.cowgirlusa.com bumpersticker.

Mail this Information to Paula Palmer, 523 West Mill, Davis City Iowa 50065