Additional Contract Page

TROUBLESHOOTER NETWORK, INC.
REFERRAL LIST CONTRACT

This is an Agreement ("AGREEMENT") with Troubleshooter Network, Inc. ("TSN") for a listing ("MEMBERSHIP") on the Referral List ("RL") found at REFERRAL.LIST.COM.
PARTY IN AGREEMENT WITH Troubleshooter Network, Inc. ("PARTY"):
DATE OF AGREEMENT*
TSN REPRESENTATIVE*
NAME OF COMPANY*
TYPE OF ENTITY*
TAX ID*
REPRESENTED BY*
First name Last Name
DOB*
MAILING ADDRESS*
Street Number Street Name City US state ZIP / Postal Code
Email*
CELL PHONE*
OFFICE PHONE*
WHAT REGIONS DO YOU SERVICE*
ADDITIONAL ADVERTISING*
In addition to MEMBERSHIP, PARTY desires to buy online advertising banners ("BANNERS") on RL as follows:
Category*
Cost*
$
INTRO*
INTRO TERMS & PAYMENT*
Month-to-Month – beginning until a monthly PAYMENTin the amount of $ due on the of each month.
TERMS & PAYMENT*
Month-to-Month – beginning until canceled as set forth here: PARTY may cancel at any time after 60-days with 30-days written notice, with a monthly PAYMENTin the amount of $ due on the of each month, until canceled by PARTY with 30-days written notice.

Quarterly – beginning until canceled as set forth here: PARTY may cancel at any time after 60-days with 30-days written notice, with a quarterly PAYMENT in the amount of $ due on the of each month,until canceled by PARTY with 30-days written notice.

One-year – beginning and continuing until midnight on , with PAYMENT due in full in the amount of $. Upon expiration, AGREEMENT continues on a month-to-month basis with a monthly PAYMENT in the amount of $ due on the of each month, until canceled by PARTY with 30-days written notice.

TROUBLESHOOTER NETWORK, INC. REFERRAL LIST CONTRACT

PARTY IN AGREEMENT WITH Troubleshooter Network, Inc. ("PARTY"):

ADDITIONAL ADVERTISING

TROUBLESHOOTER NETWORK, INC.
REFERRAL LIST CONTRACT