We require a 30% deposit when ordering, and the balance upon
delivery of your website.
*For faster service, please pay in the form of a Bank Cashiers Check,
Money Order or Certified Check.
Personal checks, please allow 10 business days for checks to clear.
*No credit cards accepted at this time.
We plan to add this payment plan soon.

Contact information:

        Name:  

Organization:  

     Address:  

        City:    

  State/Prov:  

  ZIP/Postal:  

     Country:  

       Phone:  

         Fax:  

       Email:  

Payment Plan:  
Check 
Money Order
Cashiers Check
Certified Check



How would you like your pages sent to you?
               
Send Floppy
E-mail Zip File
Upload to my Server

What information will you be sending us:

Catalogs: - How Many:
Photographs to be Scanned: - How many
Advertisements: - How many
Brochures - How many
Pages of Text to be Converted to HTML - How many
Business Flier to be Placed on Website - How many
Other Items - How many

Tell us a little about your company:
(How many years you have been in business, what services you offer, etc.)