Business Name:
Contact Person:
Title:
Address:
City:	State: Zip:
Telephone:
Fax:
Email:
Please choose the type of web advertising you would like to use to promote your business: Basic Listing $100.00 per listing per year. Link $200.00 per link per year. Biz Card $300.00 per link per year. Enhanced Listing Page $620.00 per page per year. Banner Ad $1,500.00 per banner per year.
I would like to link to the following domain(s): LOSCABOS-TOURISM.COM VIVALAPAZ.COM LORETO.COM LOSCABOS.NET ROSARITO.COM BAJAREALTY.COM BAJALIFE.COM BAJATOURS.COM VIVATEQUILA.COM CABORESORTS.COM BAJAWHALES.COM MEXICORESORTS.COM BAJAFISHING.COM EASTCAPE.COM TODOSSANTOS.COM CABOGOLF.COM MULEGE.COM BAJADIVING.COM ENSENADA-TOURISM.COM BAJAGOLF.COM Each domain name has a variety of categories. Please indicate the category your company would best fit under (Example; Accommodations, Restaurants, Activities, etc.). If you need assistance you may leave this field blank and a sales representative will help you locate the best placement for your web advertising on your selected domain(s):
This is the information that will be included in your ad. If left blank we will use the information above. If you purchased a link or banner ad please enter your website address. Company or Contact: Address: City: State: Country: Telephone: Fax: Website URL: Email: If you selected a Biz Card, Enhanced Listing and/or Banner Ad, we will contact you shortly for further information and requirements on image, content and/or banner ad submission. Please enter a brief description of your company and/or services or if you have any questions regarding your ad.
Credit Card Type: Master Card Visa Card Number: Expiration Date: Name on Credit Card: Credit Card Billing Address: City: State: Zip:
Check this box to accept the terms of your order. I ACCEPT

Questions? admin@bajalife.com Please Note: ALL SALES ARE FINAL. No Refunds. There is always a slight security risk when entering Credit Card numbers over the Internet. If you would rather not give your credit card number online, you may print this page and you can mail or fax it to: Baja Life Online Attention: Web Advertising PO Box 4917 Laguna Beach, CA 92652 Tel: (949) 376-2252 Fax: (949) 376-7575