Web Design Order Form


Thank You for your interest in our design services. Using the form below will allow you to order any of our special web site design packages right now. However, if none of these suit your needs or if you prefer not to help in the design of your web site, please send submit a Cost Proposal for a design estimate especially for your company or organization. Please fill in all applicable fields on the order form below then simply click the "Submit" button. You will then be transported to the payment processing center. If you are not yet finished shopping, you may simply hit the "BACK" button from there. But Don't Forget to return to the secure payment center to complete your order.

In order to make every effort to keep costs down and pass the savings on to our clients, we do not accept credit cards. You may pay by check online or via fax and of course, there is always snail mail (post office).


I HAVE READ AND AGREE TO ALL POLICIES AND TERMS AND CONDITIONS AS SET FORTH BY SIMPLEX SERVICES FOR THE SERVICES ORDERED HEREIN:      YES      NO
First Name
Last Name
Company:
Address:
Address :
City, State, Zip: ,
Phone:
E-Mail:
URL:
Service Requested: Basic Home Page      Starter Web Site - $397
Advanced Web Site - $897
Comments: