Customer Order Form

Complete the Form Below...

It is assumed that you have read the service descriptions and know what service will best meet your needs.

Exit to...
Customer Home Page

Email Contact...

Don't worry about making an error.  You will be contacted personally to verify the details of your order.

Also - even after completing your order below with an online payment... you will still be contacted afterward to verify the validity and accuracy of your payment.


Have you met with a sales representative:

     YES       NO     

Sales Rep. Name:


Contact Date 1:


Your Company Name:


Contact Person:









Select Your Level of Web Site Service

  Limited Beginner Site $ 100    
  Basic Service - Web Site $ 250    
  Advanced Service - Web Site  $ 400

Web AREA...
(NOT Applicable to Limited Beginner Service)

    .com .net .org    

Your Preferred Domain Names...
or Account Name for Limited Beginner Service
(You'll be notified of available options before acquisition.)

  Preference #1:

www. .com

(or net or org)
  Preference #2: www. .com (or net or org)
  Preference #3: www. .com (or net or org)

Select Add-on Features as Desired
Unneeded or Unused will be refunded

  Online Map Location Links

 $ 15

Document Downloads
You may submit documents via email attachments or someone will contact you for your materials.

 ($ 5 each)

  Simple Roll-over Buttons

 ($ 5 each)

Estimate ok
   Custom Buttons

 ($ 15 each)

Estimate ok
  Marquee Scrolling Text Effect

 $ 25

  Enter Marquee Message:

Select Vender-Based Features as Desired
Subject to vender-provider service availability.

  For Advanced Sites, I am interested in...
Details arranged when personally contacted.
  Page Counter:  

- Photo Gallery
- Email Forms
- Sound Clips
- Video Clips
- Sales Processing

  Calendar Service:  



Any Additional Comments...


First PRINT a Copy for your records, then
SUBMIT BELOW... and then you'll be directed to Payment Processing