This Form Is for GypsyBug.com Sales Rep & Advertisers
To Create A Static Entrepreneur Website Package "ONLY"

Subscription Fee is one time $19.95 set up and recurring $4.95 monthly subscription fee
(you can cancel at anytime)


INSTRUCTIONS

1. Fill out the form below, then click submit.
2. Some fields are filled in to eliminate broken links on your new site. Replace your sponsors information with yours, if you are members of that program. If you are not a members leave the field as is so no links will be broken on your site.
3. You will receive an e-mail shortly thereafter that contains complete instructions about your web site.

To Create Your Entrepreneur Website Package All fields marked with (*) are required! "READ THE FIELD INSTRUCTIONS" Fields marked with (BKO) can be finished in your back office after completed the member Application.
Sponsor Information:	Gino DiPierro -- Suneradio
*UserName	The above field will create your web site: www.MyGypsyBug.com/UserName BE SMART pick a KEYWORD for your UserName relating to your Business or industry, your state name, your city name,
*First Name:
*Last Name:
(BKO) Business Name
*Address:
Address 2:
*City:
*State/Province:	Type out your FULL state or province name. DO NOT ABBREVIATE
*Postal Code:
Country:
*Contact Phone:
Business Phone:
Fax:
Cell Phone:
*Email:
**Your PayPal E-Mail Address	(In order to be paid enter your PayPal e-mail address)
***Password:	(This is your MyGypsyBug Password DO NOT YOUR USE YOUR PayPal Password) Passwords must be 6 to 12 characters long and can be any combination of digits (0 to 9) and/or letters (a to z) only. Passwords are all lowercase. Spaces, periods, forward slashes (/) and other characters are not allowed.
	The following fields below are required in the Optimization process of your site, linking to and from other web sites, and in tracking your web site traffic to GypyBug.com and must be filled in. Your retyping of your city State/Province again is necessary! If you live in a State/Province or City such as: "Las Cruces" "New Mexico" enter your city name like this: "Las_Cruces" and State Like This: "New_Mexico" NOTE THE UNDERSCORE IN THE SPACE BETWEEN WORDS One word city and state names just type them in as they are, but these fields must be filled in!
*City_Name	(Canadian Members MUST Enter Your Favorite U.S. City & State )
*State_Name	These two field above MUST be filled out. Without filling this field out right, your MyGypsyBug site will have broken links on it!
	Below KEYWORDS Place no more then 6 keywords or key phrases starting with and separated by comma's (,) i.e... ,product Name,industry Name,susan,frank,Home Business, Use words associated with your primary business or industry DO NOT use your city, state names or postal zip code.
(BKO) KEYWORDS
***GypsyBug.com ID#***	You Must Have and Enter your GypsyBug.com ID Number To Finish This Form Don't Have A GypsyBug ID Number? Choose Link Below and Fill Out Form At GypsyBug Then Return Here to finish this form! Links below open new window. Get Started Today! Jump To GypsyBug.com Membership Forms: Below Links Open New Windows Become A GypsyBug Advertiser's Only Join The GypsyBug Advertiser/Sales Rep Team
(BKO) Short Description about who you are; or what you do. Try to use the keywords you entered above!	This field is important to make your site unique in the search engines. You have a max of 250 characters to tell people about your promary product and why they should contact you to provide them with your product or service information. Why is your company or product the BEST?
(BKO) Your Primary Business Website URL:	This Field will display your website URL under the Short Description above on your MyGypsyBug website Ad the www.YourDomainName.com do not put http:// in this field or your link will not work start with www.! When you place a link on the domain you enter here you will get better search engines results. If GypsyBug is your Primary Business, go to GupsyBug.com find your ad and paste your ad's URL in this field! This will increase your ads relevance in the GypsyBug system.
Send Out Cards UserName: This is a company that make it a snap to follow-up with clients or just send out greeting cards real cards by U.S. Mail	The above Field Links The Banner on your MyGypsyBug Site to your www.SendOutCards.com/UserName site. Not a Send Out Cards member leave it as is!
Global Domains UserName: This is a domain registration program that will allow you to refer other to get their domain and pays you for each referral each month	The above Field Links The Banner on your MyGypsyBug Site to your www.freedom.ws/YourUserName Not a Global Domains International member leave it as is! http://www.freedom.ws/UserName
MySolarNetwork UserName:
Note From System Administrator	Thank You for your patience in filling out this form. Yes, I know, it is more complicated than most, but I am trying to make a complicated promotional marketing system which promotes your business . . . into a system that is easy as possible for everyone. If you do have problems with this form please call Mark Genovese (System Administrator) at: 541-688-2046 8a.m to 8 p.m. (pacific time zone). Now click the submit button and let Gino DiPierro and MyGypsyBug Show you how to run with the big dogs!