Please complete the following if you would like us to develop your web site: Business Name: Address line 1: Address line 2: City State: ZipCode: Telephone: Fax: Please follow this sample format "000-000-0000" Outside USA, if less then 10 digits add "0" at the end to complete 10 digits . Contact Name: Contact E-Mail: Web Hosting Services Web Hosting: Introductory Plan-20mb $15/mo or $150/yr Advance Plan-50mb $30/mo or $300/yr Preferred Plan-250mb $75/mo or $750/yr Additional Features: FTP Access: Free Web Statistics: Call for Details Maintenance: Call for details Deep Submission: Call for Details Home Page Contenet: About Us page Content: Service Page Content: FAQ Page Contenet: Feedback Method: (Please select how to be contacted:) How to contact? E-mail only Feedback Form Only Order Processing Form Only Full E-Commerce Please choose your domain name 1St Choice: 2Nd Choice: 3Rd Choice: Please choose your design package: Select Design Package: Starter package $300 Enhanced package $500 Business package $725 Ultimate package $1,500 Custom Features: Extra pages: Animated Logo: Custom Graphics: Rollover Buttons: Scanned Images: 3-D Animations 3-D Illustration: Flash Presentation: Content-Specific Illustrations: E-Commerce Setup: Image Maps: