Join The Romanian Internet Link Reference

Please fill in the form bellow. Fields marked with * are mandatory. We guarantee the confidentiality of the data you provide. No information will be provided by us to any third party without your prior approval. For details please e-mail us at marketing@romstar.com .

 

1) Site (Page) Information

 

Company/
Individual Name: *

URL: *

Alias:

2)Mailing Address

 

Address 1: *

Address 2:

City: *

Zip Code: *

County/State: *

Country: *

Phone:

Fax:

3)Primary Contact

 

First Name: *

Last Name: *

Position:

Phone:

Fax:

E-mail: *

4)Technical Contact (webmaster)

 

Same as Primary Contact?Yes     No

First Name:

Last Name:

Position:

Phone:

Fax:

E-mail:

About the submitted site (page)

 

(Approximate) Date when  your web site was established *

Monthly visitors you estimate to be logged on your web site *

How did you reached our services?*

Any extra useful information you can provide about the submitted site...

Note: By filling this application form you agree to the terms and conditions outlined in the Joining Agreement