database Driven Website Order Form

Database Driven Website Package With Hosting - Order Form

Please fill in all fields marked with a *
	Name	*
	Phone	*
	Best time to call
	Email	*
	Mailing Address
	City
	State
	Zip Code
	Please describe the type of website you are building: (i.e. personal, small business, etc)	*
	Type of look you are trying to achieve (i.e. high tech, retro, conservative, flashy, colors, etc)	*
	Desired domain	www.	*
	Already Have a domain name? Enter it here or type N/A	www.	*
	Please read our terms of service agreement Do do understand and agree to the Web Development Terms of Service? Yes No *
	By Submitting to this form you are starting a new account with Net Market Solutions and have chosen to purchase the Database Driven Website package. The cost for this package is 1,180.00 then 14.95 per month to continue hosting after the first 3 months.