Order Form

Submitting this form does not commit you to anything. It is simply a request for services. You will not be charged until all the details have been discussed and confirmed, and work has begun on your site. Please double check for accuracy before clicking the Submit button. If you need to, you can click Reset to start over.

~ Thank You! ~



Rate Packages

*(Choose one)



Gold

One-time projects; no updating or maintenance.

$25/hr


Platinum

Long-term projects; designing, building, maintenance/updating as needed.

$20/hr


Non-Profit

Site that are not commercially driven with products and/or services to sell.

$10/hr


I Need more information



The details of each package are outlined on our rates page.


Payment Method

At this time we accept payments
through PayPal only.

*First name

*Last name

Company

Address

City

State/Province

Zip/Postal Code

Home Phone

Work Phone

Ext.

*Email


*Type of project:
(Please check all that apply)

Website Design

Redesign/Rebuild existing website

Assist you with building your site

Website Maintenence

Providing code snippets, graphics, other elements

*Type of website:

Small/Medium sized Business
Medium/Large sized Business
Non-Profit Organization
Personal Page
Other (please specify):

Please enter any additional information here.

This is where you can give us more details about the project, ask questions, make comments, or anything else you want us to know. There is no limit to how much you can write in this box.

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