WEB SITE ORDER FORM

Note. This form is intended for clients, who are serious about ordering our services.

If you have additional questions and would like to setup an appointment with us please visit our on-line appointment form.
. . Please supply us with the following information.
Work order.#

Date:
Web Site
Company
Contact
City
State/Province
Country
Zip/Postal
Phone
Fax
E-Mail
.
Design
Hosting (please indicate your preferred hosting package name)
Others
S Total
Taxes
Total
Deposit
Chq #
Due
.

PLEASE SELECT PREFERRED PAYMENT OPTION:

You hereby unconditionally agree that Corporate Development Group of Companies or authorized representative thereof will debit your credit card for the amount and currency as indicated herein  in US dollars or equivalent thereof in Canadian funds as agreed in advance. By submitting your request you hereby unconditionally agree that your submission will be treated as your electronic signature on your credit card.

VISA

PLEASE ENTER YOUR VISA CREDIT CARD NUMBER BELOW:

PLEASE ENTER THE EXPIRY DATE OF YOUR VISA CREDIT CARD (month and year):

PLEASE ENTER VISA CARD HOLDER'S NAME AS IT APPEARS ON YOUR CREDIT CARD:

 

Master Card

PLEASE ENTER YOUR MASTER CARD NUMBER BELOW:

PLEASE ENTER THE EXPIRY DATE OF YOUR MASTER CARD (month and year):

PLEASE ENTER MASTER CARD HOLDER'S NAME AS IT APPEARS ON YOUR CREDIT CARD:

 

 

YOUR ORDER CONFIRMATION

I, (please insert your  First and Last names in the space below)
, agree to all the terms & conditions, and realize that any new updates, changes or additions to my web site, will require a new work order.

 

I hereby unconditionally agree that a click on the "SUBMIT" button below shall be acknowledge as an equivalent of my signature on my contract with Corporate Development Group of Companies which is a subject to approval by CDGCI or authorized representative thereof.

.
. .
I have a web site
Complete reconstruction of my site.
Additions or changes to my site, as listed below.
Inventory added to my site.
Hosting of my web site.
Other items as listed below.
.
I want a web site
Design.
Hosting, with "Corporate Development Group of Companies".
Pages, total
Frames.

Background,
color is
pattern supplied by file
paper
Links within my site will be around
Links to other persons sites
E-Mail links
Sound, when you click my link button.

Text


supplied by file
on paper
typesetting request
# of words

Photos


supplied by the file

scanning is required
total

Logo,

supplied by file
paper
design required
Graphics,

supplied by file
paper
custom graphics is required

Animation
supplied by

file
custom animation is required
Animated banner ad.

Java.
Scrolling text.
Shockwave.
Multimedia.
Inventory,

with photos

without photos

# number of inventory items

E-Mail forms


Response

Credit card form

Order form
Visitor counter/tracker.
Search engine submit service.
Domain name search & registration.
Hosting, virtual domain.
Additional email accounts
Other languages

 

Please provide us with any special instructions that may be relevant to this order.

WE DO NOT ACCEPT THIRD PARTY CREDIT CARDS TO AVOID CREDIT CARD FRAUD PROBLEMS.

Concerned about your privacy? You can save this file and send your order encrypted by using world's most secured encrypted web based mail free of charge. Go to  www.hushmail.com to learn more about this service or establish your own hushmail account..
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Please read our terms and conditions carefully as you are entering into a legally binding agreement with CDGC.
. . . . .