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 SHOPPING CART SECURE ORDER FORM

 

Design Service

  SHOPPING CART include 50 Products

 

 

 

We design your Shopping Cart with max.50 Products setup. Free Value for the shopping Cart $ 495.- This Program needs to be setup with our Gold Hosting Program.

 

 

 

 

please select

 

US $ 495

  SHOPPING CART + WEB SITE DESIGN

 

 

 

Web Site Design Example :  Home Page, About Us,Services,Whats New, Contact Us- Pages. includes shopping Cart with max.50 Pruducts setup. Free Value for the shopping Cart $ 495.- This Program needs to be setup with our Gold Hosting Program

 

 

 

Addional Products we bill with $ 10 each with picture. $ 5.00 without picture.

 

 

 

 

please select

 

US $ 1190

 

 

 

 

INFORMATION about your Miva Hosting

 

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Your URL (www.yourname.com)

 

Gold Hosting Program (please select )

Payment Plan -Setup Fee:

1Mo/$149 | 3Mo/$129 | 6Mo/$100 |12Mo/Free Setup |

             Features

 

Included: 

Server Space 200 MB ( Space for 2000 to 2100 Html WebPages )
Data Transfer unlimited
Free Miva Shopping Cart System
FTP File Transfer Protocol unlimited Up Dates
SSL SECURE SERVER (https;//www.101shopsite.com)
FrontPage Ext. 98/2000
10 Mailbox Forwarding included
Branded Email Address  [email protected]
Mail Server Web Browser Interface
Red Hut Linux Web Server or NT Server ASP Support
PHP4 Support Unix BSD only
Free Domain Name .com/.net/org
Free Search Engine Registration to 1500 Search Engine.
Phone Tech Support included

 

 

Extras:

  Additional Mailbox $15/Year

 

  Database / SQL/Access Database $19/months

 

  Real Server for Media Streaming $ 39/100MB

 

  SSL Server Certificate $125/Year

 

  Miva Cart Tools Product Attribute ( Textil Size and Colors) $119

 

  Miva Cart Tools UPS Shipping World Zone Subtotal $119

 

  Miva Cart Tools Help Database $149

 

 

INFORMATION about your Company

 

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  * required Fields 

We need all information for your registration !

*Company:

 

 * Your First and Last Name:

 

Title:

 

 * Address:

 

 * City:

 *State:

 * Country:

  *Zip:

 * E-mail address:

 

 * Phone:

 

Fax:

 

Mobil Phone:

 

Toll Free:

 

 

 

INFORMATION about Billing

 

 

 

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We accept:

Visa 

Mastercard 

American Express  

 

* required Fields

* Credit Card:

 

* Credit Card Holder:

 

* Credit Card Number:

 

* Expiration MM/YY:

 

Credit Card Security ID:

 Illegible
In an effort to reduce fraud we asking for the Security ID for the cards listed below. If your card does not have a Security ID on it you may leave the field blank. If the Security ID on your card is unreadable, you should check the "Illegible" box. 
See the links below for an image of the location of the Security ID on your card.
American Express : Security ID is printed on front of card above the credit card number.
Euro Card : Security ID if available is printed on back of card after the credit card number.
Master Card : Security ID if available is printed on back of card after the credit card number.
Optima : Security ID printed on front of card above the credit card number.
Visa : Security ID is printed on back of card after the credit card number.
  
 Credit Card Billing Address

* Postal /Street Address:

*  City:

*State:

* Country:

   *Zip:

 

 

Additional Info's:

 

 

 

INFORMATION about our Web Hosting Service

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  I agree to your Hosting Terms please read

 

 

 

Registration fees or setup fees are non-refundable.
Thanks for your order ,you receive your Server Login via E-Mail
Your Web Hosting Team

 

 

 

 

Any Question please call 1- 888-398-4703 or international +1-760-736-3700

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