ORDER EPSILON (A LA CARTE) PACKAGE

! Important: For additional information about ordering read our F.A.Q and our Terms of Services
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Your Name
Your Contact Phone
Alternate Contact Phone (if any)
FAX (if any)
Email
DESIGN WORK INFORMATION	(Fill out all features that you require)
Web site domain name (if any)* (e.g. www.yoursitename.com)
Hosting Service Provider name (if any)*
*If you do NOT have a domain name and/or a hosting service provider yet, learn how to obtain one HERE.*
Indicate number of pages for your webpage (leave blank if you do NOT know the number of pages your website will require)	(Discount applies for 25 and more pages)
Optional Add-Ons
Indicate number of desired 3RD party applications or features if any (e.g. cart, blog, forum, etc.)
If ordering 3rd party applications/features , list type below (e.g. shopping cart, flash animation, forum, blog, etc.)
Creation / Design of Custom Logo  (check box for YES)
Scanning of your paper content - Indicate number of pages (If your site content is on hard paper)
French version of your page - Indicate how many words	To calculate word counts use this form
Do you want a backup of your  site on disc  (check box for YES)
Do you want a contract for monthly site update/maintenance  (check box for YES)
Additional Description and/or information
We will never spam you or share your email address with a third party.

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