Domain, Hosting & Web Designing Order Form

    (*fields are required)

      Domain Information

Domain Name:*
For Period of:*

Note: If you already buy a domain then please write

"No Domain Required in Domain Name Field"

 

Registrant Information

Organization:*
First Name:*
Last Name:*
Email:*
Address:*
City:*
Postal Code:*
Country:*
Phone No.*
Fax No.*

I AGREE (AND AM AUTHORIZED BY MY ORGANIZATION TO AGREE)

to all items in the terms & conditions of use and Billing Policy:

Agreement:* Yes         Not
   

Web Development Project Information

(if u want to develop then required)

Title:*
Project Summary:*
Budget ($/Rs.):*
Pages:*
Date of Completion:*
Current Website:*
Demo Site-1:
Demo Site-2:
   
Designing and Dynamic Contents

Logo

             Programming

Graphic Design

                Online Shop

Flash

  CD Profile

Database

 
   
Special Request:
   
Payment Mode Details

Currently we are not accepting Credit Cards. Credit card fraud is a felony. so, Please send payment via Check or Money Order.

Mail a print-out of the this form to us along with a check, money order, or cashier's check for the total signup cost drawn in US funds or Pak Rupee to the address given below. Be aware that your domain registration or account creation will not be made until we receive payment, which may mean that your domain name could be already registered by that time.

Web Expert

Muhammad Rashid

87-A/3, Peoples Colony No.1, Small D-Ground

Faisalabad, Pakistan

 

Cell: +92-321-7645020

E-Mail: rashid@webexpert.pk

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