~JP Designs Custom Web Site/Graphic Order Form~

First Name:*
Company/Organization:
Email Address:*
Web Site URL: (If applicable)

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What services are you interested in? (Please Select One:)		New Web Site Web Site Makeover Web Site Hosting - $79 per yr. Basic Package Custom Web Site graphics
How Did You Find Us?		Please Select One -------------------------------- Banner Advertisment Surfing The Web PayPal Shops A Friend... -------------------------------- Aol Search AltaVista Search Ask Jeeves FindWhat.Com Search Google Search Goto.Com Search HotBot Search Lycos Search MSN Search Yahoo Search Other
Type of Web Site (if applicable)		Please Select One -------------------------------- Business Web Personal Web Non-Profit Site Other

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Please describe in as much detail as you can what type of style you are wanting for your web site? If there is a particular site that you like (The layout only) list URL please. This will give us a better idea of what you are wanting for your web site layout . (We do not copy graphics or coding. All graphics and site design are created from a blank canvas or note pad)

Web Site or Graphic Description

Comments or Other Questions

*I have read, understand, & agree to the JP Designs Graphics Use Policy

Payment Method:
(Accepting Check, Money Order and PayPal
Find out more about PayPal by clicking HERE
PayPal Check/Money Order

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JP Designs™