North Carolina Page Registration & Renewal Form

Please include my B&B, Inn or Related Business in the
National Registry of B&B’s & Country Inn’s - as follows

Step #1

Choose Listing Type

   Basic Listing includes Photo & Web Link - $59.95

   Basic Listing with Added Descriptive Text - $79.95

   Merchant Banner Ad - $149.00

** We will contact you regarding Banner Ad Content

Step #2

Choose Additional Options

   Inn of the Month - 1-Year - $175.00

   Rotating Picture On Our Homepage -
           1 - Year - $75.00

   MapQuest Link - 1 - Year - $10.00

   Pictorial Webpage - 1-Year - $150.00

Step #3

Listing Information

Name of B&B/Inn:

Innkeepers Name:

Address:

Your County or Province (not country) :

Tel. No:         Fax No:  

eMail Address:              
Website Address:  

Up to 2-additional towns/cities to list your B&B or Inn At No Extra Charge:

Local Attractions and Points of Interest (max. 150 spaces)  Subject to editing.
IImportant: This space is not intended for descriptions of the B&B or Inn, surrounding area, location, or advertising. Just attractions and popular points of interest within easy driving distance. Inapproiate text will be edited out. If you want to include descriptive text about our lodging and/or area, we have a listing upgrade available for that. Please inquire!

Step #4

Make Payment

Card Type:     VISA        MasterCard        Discover        AMEX

Card No:         Exp. Date:         3-Digit Sec. No:

Cardholders Name:

Cardholders Address:

Tel. No: (If different From Above)

E-Mail Address: (If different From Above)

For Payment by Mail: Please mail check to Ron Cusano, 88 Florida Ave., Commack, NY 11725. Listing cannot be added until payment is received.

To Send This Form By Fax:
Fill-out, print out and fax to
631 980-8106