On Line Sign Up Form
To sign up for this service just fill in the blanks and then submit.
This service is for a (one year) web-page. Your page will be placed
on this site "ONLY" after payment is received. The charge for this
service is $50 plus your county tax (if NYS), payable to:
Maximum Security Systems
147 Fromire Rd
Cobleskill, NY 12043
Any questions: 518-234-7864
If you have a website, make sure you include it's address.
Once the page is up, there will be a $10 edit fee for changes.
Include a picture of your store and of yourself and if possible they
will be scanned onto the website.
Don't forget to pick what letters best describe your business.
Name:

Address:



Home Phone:

Business Name:


Business Address:  



County of Business:

Business Phone:

Contact Person:

Type of Business:



Locations/Directions:

Hours of Operations:

If you have a Website

Write the Address:  


Say Something about your Business:   



Letters that Describe your Business
T for toys, P for Paint, etc: