Reurn To HomeServices & Products - Premium Listings - Annual Fee $300 USD
For All Categories Your Company Serves

Mailing & faxing instructions are included below.

Important - Write Clearly or Type In


ANNUAL BILLING INFORMATION This WILL NOT appear online.



Send our receipt and placement confirmation to this e-Mail address:

___________________________________________________________________________________________________________
(This address will NOT be given, sold or leased to 3rd Parties)


Billing Street or P.O. Box: ___________________________________________________________________________________


City: ______________________________________________________________ State/Prov: ____________ Zip: _____________



Free Logo
Preparation:
Scan our logo from our website
We are sending a digital logo attached to e-Mail addressed to webmaster@activeset.org
We are mailing a scannable color logo with our order (artwork cannot be returned)

PREMIUM LISTING INFORMATION This WILL appear online.

Company Name: ____________________________________________________________________________________________



Address: __________________________________________________________________________________________________


City: ______________________________________________________________ State/Prov: ____________ Zip: _____________


Phone (Area code): ______________________________________ Fax (Area code): ____________________________________

Web Address: http:// ______________________________________________________________________________ or
N/A


Reply to e-Mail Address: ____________________________________________________________________________________


Type Of Business:     Manufacturer       Supplier       Rental        All


Provide a SHORT 1-2 Line Description (40 Words) of Your Services or Products:


___________________________________________________________________________________________________________


___________________________________________________________________________________________________________


___________________________________________________________________________________________________________










PREMIUM LISTING PLACEMENT PAGES

Select All Categories That Apply:
Please select the categories your company is actively serving only.

Ambient Air Monitors
Analytical Labs
Analyzers - Gas
Calibration Gases
CEMS
Combustion Engineers
Data Acquisition/CEMS Sytems
Dilution Probes/Systems
Dry Ice
EHS Software
Emissions Trading/Brokers
Environmental Eng. Firms
Glassware Repair
Handheld Sniffers
Isokinetic Sampling Trains
Lab Supplies
Pollution Control Equipment
Professional Affiliations/Pubs.
Reagents & Chemicals
Rental Test Equipment
Sampling Pumps



Suggest a New Category: ______________________________________________________________________________________



PAYMENT OPTIONS The annual fee is non-refundable after your order has been placed on ActiveSET.org.


OPTION 1 - Pay By Check
Mail the completed form with a U.S. Check or Money Order in U.S. Funds for the $300 annual fee payable to:
ActiveSET.org 3335 NW 47th Terrace Gainesville, Florida 32606



OPTION 2 - Pay By Credit Card
Mail the completed form to:
ActiveSET.org 3335 NW 47th Terrace Gainesville, Florida 32606
Fax the completed form to:
(352) 375-3759

I authorize Emissions Schematics to bill my credit card $300 (USD) for the annual fee. ActiveSET.org is owned and
operated by Emissions Schematics. Your credit card will be billed as "Emissions Schematics"

Cardholder's First and Last Name as it appears on the front of the card:


____________________________________________________________________________________________


Credit Card Number:

____________________________________________________________________________________________



Expiration Date - Month: _____________ .. Year: __________

Thank You ! ActiveSET.org will process your order immediately upon receipt.
By submitting this order you agree to the terms and conditions of the ActiveSET.org Advertising Services Agreement

ActiveSET.org Customer Service: order@activeset.org