All Currency must be in United States dollars and in the form of check or money order. Service of webpage creating will start once check or money order has cleared.Since resources from the 'Net will be utilized, your email must be submitted along with 5 preferred user ID's and 4 preferred passwords. ~DesignIt~ will use perferred passwords when possible. It may be necessary to forward password sent to you via email to ~DesignIt~ before services can be started. Failure to due so cannot result in contract termination.

Caring 4 You
Computer Services


"Our Name Is Our Web Address"


 Please DO NOT send before getting a price
Pay Online! It's fast! It's Free! It's Secure! It's Email!

OR


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to talk to a representative....

Mail your check or money order to:

Anneliese Garrison, RN
15 Linden Street
Bridgeton, NJ 08302
856-455-2163
place~DesignIt~ in the memo portion

print form, fill out and then, mail with check or money order

Print out this form and send it as an attachment in email [clicking here will open the form below in a document on your computer and allow you to fill it out. Save to your hard drive and return to me as an attachment via email]

Fill Out This Form In It's Entirety-Thanks {please print}
Name:
First___________________ Last _____________________________
Address:________________________________________________
City:_______________________ State ____________________
Zip Code ___________________ Phone: (____) ___________

I would prefer the following ID's used:
First choice ________________ Second choice _________________
Third choice ________________ Fourth choice _________________
Fifth choice __________________

I would prefer the following passwords used:
First choice ________________ Second choice _________________
Third choice ________________ Fourth choice _________________

I would prefer the following email used:
First email _________________ Second email ________________

I have enclosed a check or money order for my choice:
(check one)

I want to advertise my banner: {check all that applies}
400 by 40 pixels: _________ 100 by 100 pixels: _________
Advertise on main page and site map (entire site) $65.00:_________
Advertise on 3 pages of my choosing $35.00 _________
URL's are:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Advertise on one page $25.00 _________
URL for one page advertisement is:
_____________________________________________________________________

I want a web page package:
1 page package: _________
Basic Package: __________ [3 page package]
Advanced Package:________ [5 page package]
Maintenance: ________ [Total for 6 month period
I do not need maintenance:__________
I want to learn some basic Webpage Designing: __________ ($30.00 hr/ sesson)
I want my own domain for the rate we discussed of:__________
Please give me a Gift Certificate for:________
Other:_________ Total:________ [add $25.00 initial contact fee]
(Please add the following items. I have agreed to the following prices.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

I have enclsoed a check with the agreed upon total minus my discount: _______ (be sure you have checked all selections needed above also)

~Please print this page and send with your check. Keep a copy for your records~

It may be necessary to contact you concerning your order. Please print:

Email: ________________

Home Phone Number: ________________ Fax: ________________

Home Address: ________________________________

              ________________________________

              ________________________________

I have read the terms and conditions and agree to the terms of this contract. I agree to follow the conditions set forth.
Signature: __________________________________ Date___________

Please Print a copy of the contract from the website for your records.
http://caring4you.net [follow the correct link for a personal, educational or business site.]

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