<  Home |  Contact  |  Membership Info |  Media/Press |  Safe Shopping Center 
  Update your
  Send a           
  File a               
  Scam Alert  
  Smart Shop  



If you had this page bookmarked sorry for this slight inconvenience.

It has been converted to a php form because of excessive spambots attacking it with ads.

The new form is here

This form is no longer functional.

Company Name:

Contact Name:
Company Address:
State / Country:
Zip / Postal Code:
E-Mail Address:
URL [http://www.]
Year Business Established:
Type of Company:
If Incorporated, please provide the following information on
Company Officers.
Vice President:

Please provide a full
description of your services and/or products
as you would like it to appear on your
Member Company Profile

Please select up to three (3) categories you would like your Company Name to appear under:

If your company does not fall under any of the current categories you may request a new category(s)

Requested Category:

Requested Category:

Please provide us with the best time to reach you.

9:00am - 5:00pm Daytime

5:00pm - 9:00pm Evenings




Netcheck MEMBERS ONLY Network

This Program allows Netcheck Members to interact and network with each
other at a discounted rate or though a barter agreement.
[This program is not available to the general public]

Discount Rate Offered:
(10%, 20%, etc.)
Would you consider a
Barter Arrangement
Company Description in 50 Words or Less:


Netcheck Annual Membership Payment Information


$195.00 ($US) Annual Membership

Global Search Engine and Directory Submissions Options:

Additional cost

  • PACKAGE 1:
    We Submit Your Sites Main Page OR Your Netcheck Company Profile Page
    Quarterly For 12 Months.(4 times a year)
    $35.00 annual fee

  • PACKAGE 2:
    We Submit Your Sites Main Page AND Your Netcheck Company Profile Page
    Quarterly For 12 Months.(4 times a year)
    $70.00 annual fee

Price Options


Membership Only

Membership with option 1

Membership with option 2


We will activate your Netcheck Membership within 24 to 48 hours
of confirmation of your Membership Dues.

For our Members convenience Netcheck Accepts

Visa®, Mastercard®,
on-line for Membership Dues.

Welcome to the Netcheck family and Thank You
for supporting a safe and ethical Internet


Copyright © 1995-2007 Netcheck. All rights reserved.