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DESIGN ORDER FORM

To place your order please select one of the following:

1. Pay by Direct Deposit (Preferred): Complete the form below and choose Direct Deposit as your method of payment. We will send you an invoice by email with our Bank Details. Once the funds have been deposited into our account we will process your order.

2. Pay by Credit Card: Complete the form below and choose Credit Card as your method of payment. For your peace of mind we will send you an invoice by email with a direct link to an independent Global third party secure e-commerce provider. Once the funds have been deposited into our account we will process your order.

3. Pay by Cheque: Complete the form below and then print, attach it to your cheque or money order and post to the address listed below:

SupplyLink International
PO BOX 313
Beenleigh Qld Australia 4207

We will contact you with your details immediately the order is processed. 

About Your New Site:

 Fields marked * are required fields. 
Please ensure all these are completed.
* Package Type:
* Please describe your business (if applicable) and the purpose of your site:
Preferred Color Scheme (if any - we recommend choosing from: browser (web) safe colors

Insert the HTML code (e.g. text = #000000) above.
Do you have a preferred layout?  If so, please describe.
Do you want a background colour? No
Yes		 Specify Colour see browser (web) safe colors
OR What sort of background colors do you prefer? Light
Medium - bright
Medium - other
Dark
No preference
What sort of background would you prefer? Pattern
Plain
Where would you like your navigation bar to be on your Web pages? Left-hand side
Top
Right-hand side
Bottom
No preference
Any other comments?
Mark your web safe colors here, please note the HTML code here.

About You:
* Your First Name:
* Your Last Name:
Business Name (if any):
* Current Email Address:
Hosting: Your own Domain (e.g. www.yourname.com)
Part of the SupplyLink Site (e.g. www.supplylink.com.au/yourname)
Current Web Site URL if any:
Current Member:    No      Yes    (Members discount applies)
* Street Address:
 
* City:
* State:
* Zip:
* Country:
* Phone: Landline area code & number required
Mobile Phone:
Fax (if any):

Your promotional number here (if any):

* Please check this box if you agree:

  I have read and agree to be bound by the terms and conditions on this web site.

 

Copyright © 2006 SupplyLink International
If you have questions or comments about this web site
please e-mail: webmaster