Application for Listing on the Eagles Mere Borough Website

Our Organization is:  ____Community Service Organization;
____Government Service;
______Business Service; ______Lodging;  _____Food Service;
_______Retail Shop; _____Cultural Activity

Name of Organization__________________________
Contact Person_______________
Organization Address__________________________
Phone #_________________
Mailing Address______________________________
Phone#__________________
Email Address of Organization____________________
Contact’s Email_____________

I live within the Borough ____YES  _____NO 
 I pay Eagles Mere Borough Taxes __YES  __NO
Organization is within Borough ___YES ___NO
Organization pays Eagles Mere taxes _____YES  ___NO

___Our organization is for members only.  With the exception of guests of members, all others are excluded.

___Our organization is “Not-for-profit”, please give us a link to our own website at:
     __________________________________________________________

___Our “Not-For-Profit” organization does not have it’s own website.  Please use the following ten words to describe us.
     __________________________________________________________

The following annual rates include the listing and fees to place the information on the website.  Renewal will be due in March of each year. 
Updates, additions or changes can be made when renewing the annual fee at no charge. 
Updates, additions or changes made after the initial set up or renewal will be charged a fee.
All updates, additions or changes must be submitted in writing (preferably via email) to the Borough Secretary at: em17731@epix.net. 
Actual charges will be billed and due on receipt
(Cost will be approximately $45.00 per hour)

For the year of 2010 thru March 2011, our organization requests a:

            _____Basic Listing (Name of Organization, address and Phone#)
                          ____EM Taxpayer($0) 
                          ____Non-taxpayer within 8 miles of the Borough ($25.00)

            _____Basic Listing plus a Hot Link to our website**
                         ____EM Taxpayer ($25.00)
                         ____Non-taxpayer within 8 miles of the Borough($50.00)

            _____Enhanced Listing (Name, Address, Phone #, Photo, and 50 words)
                         ______EM Taxpayer ($50.00)
                   _______Non-taxpayer within 8 miles of the Borough ($75.00)

Photo is attached, attach to an email and sent to em17731@epix.net or
retrieved via the web at:
__________________________________
Our 50 words are:_____________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Please use additional pages if needed.
 
            ______Enhanced Listing plus a hot link (Name, address, Phone #, 1 Photo,
and 50 words plus a hot link)**
                        ______EM Taxpayer ($75.00)
                       _______Non-taxpayer within 8 miles of the Borough ($100.00)

**=Any individual business or group having a stand-a-lone website and placing a
reciprocal link on their website to www.eaglesmere.org may take a $25.00 discount.

                                                                       Cost for Selected Category above$________
                                                                                   Discount if Applicable$___________
                                                                                   Amount enclosed      $____________

I am authorized to make these commitments for my organization.

Print name: _________________Signature:__________________Date:_______

Please mail application to:

                     Eagles Mere Borough
                     P.O. Box 393
                     Eagles Mere, PA 17731