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Thanks for your interest in our Bronze Package.
Upon recieving this form, we will contact you to
go over the details of the design process.*
After approval we will need half down ($125.00)
and the rest due upon completion of the web site.
BRONZE PACKAGE WEB SITE
I have read and understand the TERMS & CONDITIONS.
First Name:
 Last Name:
Street Address:
City:
State:
Zip Code:
  
Home Phone:
Work Phone:
e Mail:
Your existing Domain Name: www.
Your existing hosting Company:
I would like to pay 1/2 down $125.00 and bill me the rest $125.00
I would like to pay the full amount of $250.00
I would like to use my credit card for the full amount $250.00

*by phone, e mail, or appointment. Depending on your location.
Legal Notices and Privacy Policy . Questions or Comments send to: info@budgetwebbuilders.com