Site Updating Order Form


Thank You for your interest in our services. Please fill in all applicable fields on the order form below then simply click the "Submit" button. 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:
Services Requested:
Comments: