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Web design order form

Payment options we accept: Epassporte and wire transfers!

WEBSITE INFORMATION:
WebSite Name:
WebSite URL:
WebSite Description:
CONTACT INFORMATION:
Company or billing name:
Contact Full Name:
Street Address:
City:
State/Province: (n/a if none)
Zip/Postal Code:
Country:
EMAIL:
Phone:
FAX:
ICQ#:
ORDER INFORMATION:
Order Type:
Other (if any):
Quantity:
Order information (describe what you want us to do and how: explain your idea of the site, tell us what colors you like and which ones you would like, how many thumbtables (if any) how many thumbs (if any), what thumb dimensions (if any), what table headers you want. Provide us with URLs of sites you really like.Provide us with links to legal content that belongs to you if it should be used in design process. Tell us logo slogans (if any). In other words share all your feelings and ideas with us, about the site design you want to get and give us a detailed explanation on every thing on your website so we won't need to contact you over and over again for every small question. :
Sign this agreement (put your full name here):


Please fill the whole form, it is an electronic contract/agreement - a legal document and we won't fulfill the orders without all the info about the customer!

  

 
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