FAX ORDER FORM: To order your website design, redesign, maintenance, promotion, domain name, web hosting and, or any other service/account, please fill out all fields of the order form below. Print the page and FAX the order to us. We will contact you when the account is ready for use (within 24 hours). All plans include our 100% money back guarantee policy to assure you total satisfaction and piece of mind.

   Fax (within US): +209 254 7783 Fax (outside US): +1 209 254 7783

Website Handler! Fax Order Form - www.webhandler.com
Customer Information
First Name
Last Name
Company
Please put your domain name above if there is no company name
Billing Address
City
State
Zip Code
Country
Phone
Primary Email
Offsite or backup Email
Repeat your email address above if you do not have a secondary email account
Billing Information
Which Credit Card
Credit Card Number
e.g., 4123-4567-8910-1234
Expiration Date /
Name on Credit Card
Account & Domain Name Information
Package/Account Type
Choose Account Password:
What is (or will be) your domain name?
Please choose one of the following:
  This is a new domain name - please purchase for me.($15/year) 
 I already own this domain name  
Addons/Optional:  I would like a on time maintenance on my website - $50.
  I would like one time optimization of 3 pages on my website - $99.
 I would like a on time maintenance on my website - $50.
  I would like one time research and recommendation of my website. - $70.

By signing below, I hereby authorise Website Handler! - www.webhandler.com to charge this credit card for all expenses associated with this account, including any monthly or annual charges as and when they fall due. This authorization is valid until I cancel my account.

Signature: _____________________________ Date: _________________ Print Name: _____________________________________