Directory Listing Agreement

EyeSearch receives 110,000 to 150,000 hits each week from Viewers interested in Eye Care.

We get Viewers' requests for Eye Specialists from all over the World.

For a potential New Source of Patients for your Practice,

Join EyeSearch's Referral Directory Today!

There are 3 Steps to Joining our Referral Directory:	1. Complete Directory Listing Lease Agreement 2. Submit Secure Payment or Send Check 3. Submit Listing Information/Design
Optional - Receive a for Completion of our Quality Assessment Form .

Today's Date

EyeSearch Directory Listing

Lease Agreement

Listing Start Date

EyeSearch.com, Inc. agrees to lease a Directory Listing at http://www.eyesearch.com to the below listed Individual, Company or Organization referred to as Lessee according to the following terms and conditions. Lease can be terminated by either party at any time. EyeSearch makes no claims for a minimum number of referrals to the Lessee.

Note: Classified Ads for Eye Positions Available/Wanted, Resume Posting, Availability of Support Services, Eye Equipment, & Eye Practices, please go to the Submission Form at Ad Inquiries.

Select 2 or 3 Eye Specialist Directories :

Select Type and Duration of Enhanced Directory Listing:

Bronze - Example	Silver - Example	Gold - Example
150 Characters	350 Characters	500 Characters
No Graphic	1 Graphic	2 Graphics
1 Link	3 Links	6 Links
$19/month usd for 3 Directories	$39/month usd for 3 Directories	$59/month usd for 3 Directories
$14/month usd for 2 Directories	$29/month usd for 2 Directories	$49/month usd for 2 Directories
FREE Set-up during March 2002 - a $25 Value!

Select Payment Option: (must be received prior to listing activation)	Secure Credit Card Payment at EyeSearch Vision Store
	Mail Checks to: EyeSearch, 22120 Brier Road, Brier, WA 98036

Lessee - Individual, Company or Organization:
Address:
City:	State/Country:	Zip Code:
Phone:	Fax:	Email:

Lessee Representative:

Additional Information/Comments:

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