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| * First
Name of Contact Person: |
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| * Last
Name of Contact Person: |
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| * Company
Name : |
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| * Contact Person's
Title : |
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| * Full
Address: |
|
| * 2nd
Address, Apt.#, PO Box: |
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| * Day Time
Telephone No.: |
Area Code:
City Code:
Tel. Number:
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| * Night Time
Telephone No.: |
Area Code:
City Code:
Tel. Number:
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| * Email
Address: |
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| * City: |
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| * State/Province: |
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| * Postal Zip Code: |
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| * Country: |
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| * How many Web Pages
will you need? |
Total. Extra Pages Charged below if more than 4.
|
| * How many Total Images for
all Pages? |
Total. Extra images charged below if more than 40.
|
| * How many Total Links for
all Pages? |
Total. Extra links charged below if more than 50.
|
| * Do you need a Domain
Name Registered? |
Free 1 yr Domain w/Premium or $10 w/Free Hosting.
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| * Do you need to accept Credit
Card Payments? |
1 PayPal Page allowed with Premium Hosting.
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| * Select Web Site Package with :
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Premium Hosting
or Free Hosting Add to Cart.
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| * Cost of your basic Web Site Package :
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* Setup and Help on Four Free Services:
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First Free Service Selection: |
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* Setup and Help on Four Free Services:
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Second Free Service Selection: |
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* Setup and Help on Four Free Services:
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Third Free Service Selection: |
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* Setup and Help on Four Free Services:
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Fourth Free Service Selection: |
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correct each checked item that applies to your order and click, Add to Cart if  |
* Additional Web Pages you will need created,
if more than 4, at $25.00/page: |
this item 
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* Additional Images you will be
using, at $1.00 per image: |
this item
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* Additional Links you will be
using, at $1.00 per link: |
this item
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* Additional Services you will be
needing help with, at $10.00/service: |
this item
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* Graphics Designing at $ 35.00 per hour:
Banners, Images and Animated Gifs. |
this item
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* Custom Programs Designed for $35.00/hour:
Any Application, Data Collection, PHP, SQL DB. |
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* If Free Hosting and or Extra Domain Names:
Registration Fee $10.00/year per Domain Name. |
this item
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* Translate pages to Spanish for $25.00/page:
Other Languages Available. |
this item
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* Describe the Site to be created.
(maximum 500 characters.) |
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