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  OWN YOUR OWN TURN-KEY WEBSITE ORDER FORM
 

Fill out the form below with a down payment of 50% and we will get you started on owning your own Adult Turn-Key Website.

CLIENT INFO
First Name :
*
Last Name:
 *
Address: *
City: *
State: *
Zip Code: *
Email:
 *
Home Phone: *
Work Phone:
Cell Phone:
INFO NEEDED FOR SUBMISSION
Desired Website Name:
Domain Name is not guaranteed.  We will check website name with Network Solutions to see if domain is available.
Choose Site Option:
TERMS & CONDITIONS
By filling out this form you give Web Design Adult Inc. to charge your credit card one of the following amounts below:
Option 1 - $2000 - 3 page site (1 homepage, 1 tour pages, 1 join page) - $1000 Down Payment
Option 2 - $2500 - 5 page site (1 homepage, 3 tour pages, 1 join page) - $1250 Down Payment
Option 3 - $3000 - 7 page site (1 homepage, 5 tour pages, 1 join page) - $1500 Down Payment
Option 4 - $3500 - 10 page site (1 homepage, 8 tour pages, 1 join page, 1 links page) - $1750 Down Payment
Accept Terms?
CREDIT/DEBIT CARD PAYMENT INFORMATION:
Expiration Date:Month: Yr:   
Card Number:
CDV Code:  * THE 3 DIGIT NUMBER ON BACK OF THE CARD.
Name as it appears on Credit Card:
PAY BY CHECK PAYMENT INFORMATION:
Routing Number:
Account Number:

 

 

 

 

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