Employment/Fundraiser: completed by Interested parties only
Employment Interest:
Fundraising Interest:
Email address:
The Domain name package
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Business name:
Business Address:
Business City:
Business Telephone:

Authorized Personnel:

Email address:

Type in 1st domain name choice


Type in 2nd domain name choice


Type in 3rd domain name choice



Business ad/text line placement choices

 NJ County:
 High School district:

Business Categories

Attorney Employment Reference
Automobile Financial Restaurants
Camps/training Games Sporting goods
Computers Insurance Tanning
Contractors Medical Travel
Education Mortgage Wireless
Electronics Real Estate Other

Type in business Category

* The completion of this form does not link anyone to any web site, web page, directory or other form of media.  THIS FORM IS FOR CONTACT PURPOSES ONLY.
The NJBPA (NJ Business Promotion Agency) is a division of New Jerzee LLC.   The NJBPA processes marketing requests and Business Promotional items (BPI) for New Jerzee LLC.  BPI are purchased for placement on daily visited web pages within our network.  BP items are for the promotion of products and services to NJ online visitors from our network of web sites.  For more information please complete the form above.  Any information collected from this form will not be given to outside parties without your permission! 
Less than $9 a month Domain package
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View our presentation here:  Presentation

I.  *Domain name registration for 1 year (www.yourbusiness.com)
II.   Domain name hosting for 1 year    
III.  Ad page creation
IV.  Business listing placed in a NJ business directory
V.  Ad page tracking by web-stat.com