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~JP Designs Custom Web Site/Graphic Order Form~

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

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?
Type of Web Site
(if applicable)

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™

This page last updated on.....
Friday, July 14, 2006 06:10 PM