Web Design Order Form
First Name
Last Name
Company/Organization
Street Address
City
State, Postal Code
Country
Telephone
Fax
Email
Domain Name
.com
.org
.net
Internic Type
New Domain
Transfered Domain
Purpose
Number of pages
- Select One please -
1 page $150.00
5-10 pages $500.00
11-20 pages $750.00
21-30 pages $1000.00
Comments
This Form is exclusively
for ordering
WEB DESIGN services.
For ordering
WEB HOSTING services, please follow the link on
Web Hosting Rates
Please write check and mail it to:
True Impression.com
7290 Nunes Lane
Eureka, CA 95503
Copyright © True Impression.com 1999 All rights reserved
Web Design Order Form