| All quotes and orders can be placed on-line or by telephone. You will
receive a confirmation of your order via e-mail within 24 hours. We process all orders
within 24 hours from the time we receive payment (please allow extra time on weekends). If
you are an existing customer wanting to upgrade, send an e-mail with your request to sales@webility.com. |
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| PART 1: Customer Information |
| Company Name:
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Purpose/Description (few words):
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First Name:
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Last Name:
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Address:
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City:
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State / Province:
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Zip / Postal Code:
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Country:
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Telephone:
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Before configuring your server, a representative will
contact you to verify this information.
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Fax:
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E-mail:
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You must enter a valid e-mail address. This is the address that the
order confirmation and server configurations will be sent to. If you want a copy sent to
more than one address you can list multiple addresses separated by a comma.
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| Billing E-mail: |
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If you wish for billing information to be sent to a different
address, enter a valid e-mail address here. If you wish for all the information to be sent
to the same e-mail address, you can leave this field empty.
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| Part 2: Choose Your Web Design Option -
(All
prices are in U.S. Dollars.) |
| None |
Site design not required |
| Option 1 |
Virtual Starter Site ~ 1 page ~ $75 |
| Option 2 |
Virtual Standard Site ~ 3 pages
~ $150 |
| Option 3 - |
Virtual Advanced Site ~ 6 pages ~ $275 |
| Option 4 - |
Re-Design ~ per page ~ $60 |
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Additional Options
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Additional
Page Design ($50 each)
Additional
Page Re-Design ($50 each)
Automatic Last Update Field
Custom
Animations ($60 per hour)
Custom
Background Image ($60 per hour)
Custom
Button Design ($60 per hour)
Feedback Form
Guest Book Registration Form
High
Resolution Scanning
Hit Counter
Marquee - scrolling text in body
Marquee - scrolling text in
browser frame
Members Only Section with Password
Mortgage
Calculator
Navigation Page for Frames (required
if you want frames design in your site)
Printable
order form (contains blank spaces to print and fill in manually)
Registration
Form
Rotating
Banner
Search Engine
(searches within your site)
Shopping Cart
(manual - choose items manually, totals cost and must be sent with payment)
Shopping Cart
(manual - choose items manually, totals cost and is sent via email, payment is sent
separately)
Shopping Cart
(automatic - tick box to add to shopping cart, order is on secure server - must be sent
with payment)
Shopping Cart
(automatic - tick box to add to shopping cart, order is sent to on-line payment system -
requires merchant account)
Thank
you page response (for email, orders, feedback, etc.)
Table of
Contents |
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Other Instructions (PLEASE hit enter after each line):
Type any additional instructions that you would like to include with your order.
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| Part 3: Choose Your Web Hosting Option - All
prices are in U.S. Dollars. |
| None |
No Hosting Package Required |
| Option 1 |
Virtual Starter 20 MB with 500 MB Data
Transfer per Month - $20 per month plus
$20 set-up fee |
| Option 2 |
Virtual Standard 200 MB with 7 BG Data
Transfer per Month - $30 per month
plus $30 set-up fee |
| Option 3 |
Virtual Advanced 300 MB with 10 GB Data
Transfer per Month - $50 per month
plus $50 set-up fee |
| Option 4 |
Virtual Commerce 300 MB with unlimited Data
Transfer - $70 per
month plus $100 set-up fee |
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| FTP Password |
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| Choose Platform |
Unix
NT |
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Other Instructions:
Type any additional instructions that you would like to include with your order.
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| Part 4: Choose Your Domain Name |
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For a registered domain through InterNIC:
Is this a new domain or a modify? NEW MODIFY
(existing)
IF A NEW DOMAIN: Check
InterNIC to see if your name already exists. If it already exists, pick another.
Please be aware that InterNIC will bill you separately for any name you register.
The current charge is $70 for the first two years.
IF AN EXISTING DOMAIN (modify): Check
InterNIC to see if you are the proper owner of the domain. The Company Name
field on this order form MUST match the company that this domain is registered to. If it
does not, the InterNIC will NOT approve the modify. The modify request
will be emailed to the admin contact who must reply to the request. Be sure
the admin contact exists and is aware of this.
Domain Name: www.
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| Part 5: Payment Options |
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No
Bill (Just a Quote for Now)
Payment
via Credit Card (Details entered on next window)
Payment
via Check (Your invoices will arrive to you via e-mail.)
All invoices must be paid on time to avoid
interruption of service. Please Note: We can not register your domain name
until payment is received.
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Other Instructions:
Type any additional instructions that you would like to include with your order.
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| How did you hear about us? |
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If you heard about us via a search
engine, which search engine was it?
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Now We Are Done!
Please check over your information then press the submit button.
THANKS FOR YOUR
BUSINESS!
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