<%@ LANGUAGE="VBSCRIPT" %> Everingham Web Site Design Order Form
This is our PRINTABLE 1 page order form.. This form may be filled out, printed from your web browser, and simply sent to us! Fill in, and select the print button below - or - email it to us!
All price listed are in United States funds. All payments must be made in US currency/check/or money order.

Please Read our Legalities page before submitting your order, thanks.
Customer's Information
Full Name:required
Business Name:
"Optional"
Mailing Address:
required
Country:
Phone
E-Mail Address:--"If you have one"

What package(s) would you like to order?
Basic Business AD Page - ~$6.25/month (prepay 1st year) webpage$75
Professional DOMAIN Web Sites:
*Professional WebSite "your own domain & email accounts" Paid Yearly equals only $20 a month! less than a cable or phone bill! (like having a webmaster on your payroll!) pre-pay (first year=$240)$240
*Monthly Professional WebSite - Lower Payments!
Small starup cost, & pay only $25/month to continue services. Same Services as a pre-paid Full Professional Domain Web Site.
must pre-pay (first 4 months=$100) 		$100
*Professional WebSite HOSTED ONLY no need for updates I just need a place to host my site that is already made. ONLY 9.99/month! pre-pay (first six months=$59.94)59.94
CONTACT US if you have other needs or questions.

Notes: attach any site ideas, sketch or drawings, photos, files, brochures, and any business info you have, and want added to your new website.

"PLEASE click only once... your form will be automatically sent to us!"
 --- (email this form, and/or print it.)

Return form, info, and payment to:

Everingham WebDesigns
P.O. Box 3
Stanton, MI, 48888


Any Questions, mail us,
or contact everingham.com