Service Order Form

I. Contact Info.

Contact:   Person:  

Title:  

Business Name:  

Street Address:  

City:  

State:  

Zip Code:  

Telephone:  

Fax:  

Email:  

 

II. Service Desired

Which type of development do you need?
New Site
Redo an existing Site
Maintain an existing site

Do you have your own domain name? Yes No
If applicable, Your website's URL address (e.g. www.yoursitename.com) or desired URL address

Do you have web hosting service? Yes No
Would you like to take advantage of our free hosting service? Yes No

III. Service Requested

Which web service do you want to order?

                Basic Site Design
                Standard Site Design
                Basic Site Maintenance
                Standard Site Maintenance
                Updating an Existing Site.

IV. Please give us a short description of the contents of your web site or web site to be. Or if there is any other particular service you want (e.g.: shopping cart/ animated images etc), please specify.