WebSite Design & Services Order Form
Complete each section below for each service requested (design - hosting - additional services) and click "submit". Upon receipt an agreement will be immediately processed and forwarded via eMail or USPS for you approval and signature.

* indicates required fields
* First Name
* Last Name
* Company Name
* Street Address
* City
* State / Province
* ZIP / Postal Code
* Country
* Phone
* Fax
* eMail
Web Site URL
Where did you hear about us?

Agreement Delivery Method
	Send Via eMail
	Ship Via USPS - Priority Mail
	Ship Via FedEx/UPS (Additional $20.00 shipping fee) †
	† The price is only valid for USA and Canada delivery addresses. Please contact our customer service for information about shipping to other countries.

	Select Package Plan & Billing Preference
	Bronze Design Plan
$300.00 - All Inclusive - (view advantages - click here)   $100.00 - Design Only
	Silver Design Plan
$500.00 - All Inclusive - (view advantages - click here)   $300.00 - Design Only
	Gold Design Plan
$700.00 - All Inclusive - (view advantages - click here)   $500.00 - Design Only
	Platinum Design Plan
$950.00 - All Inclusive - (view advantages - click here)   $750.00 - Design Only
	Double-Platinum Design Plan
$1,200.00 - All Inclusive - (view advantages - click here)   $1,000.00 - Design Only
	Ultimate Design Plan
$1,700.00 - All Inclusive - (view advantages - click here)   $1,500.00 - Design Only
	Custom Design Plan
A staff member will contact you asap regarding details & pricing

	Select Package Type & Billing Preference
	Starter Shared Hosting Plan (5.95 Per Month)
	Bronze Shared Hosting Plan ($8.95 Per Month)
	Silver Shared Hosting Plan ($11.95 Per Month)
	Gold Shared Hosting Plan ($14.95 Per Month)
	N/A - included in all-inclusive website design package above
	No Hosting Desired

First Choice:
Second Choice:
Third Choice:
Fourth Choice:
*check each domain extension desired .com .net .org

	Select Any Additional Services Below
	Additional WebSite Page- $70.00 (per page)
	Splash Page - $30.00
	FeedBack / E-Mail Response Form - $90.00
	Logo Design - $100.00 *SEE BELOW

*NOTE: All services, other than logo design, will be billed to you along with your design contract. If you are purchasing a logo design ONLY, proceed to the logo design page for more details and ordering information.