:: WEB DESIGN ADULT ::

OWN YOUR OWN TURN-KEY WEBSITE ORDER FORM

Fill out form below with a down payment of 50% and we will get you started on owning your own adult turn-key website.

CLIENT INFO

First Name :

Last Name :

Address:

City:

State:

Zip Code:

Email:

Home Phone:

Work Phone:

Cell Phone:

INFO NEEDED FOR SUBMISSION

Desired Website Name:	Domain Name is not guaranteed. We will check website name with Network Solutions to see if domain is available.
Choose Site Option

TERMS & CONDITIONS

By filling out this form you give Web Design Adult Inc. to charge your credit card one of the following amounts below:
Option 1 - $2000 - 3 page site (1 homepage, 1 tour pages, 1 join page) - $1000 Down Payment
Option 2 - $2500 - 5 page site (1 homepage, 3 tour pages, 1 join page) - $1250 Down Payment
Option 3 - $3000 - 7 page site (1 homepage, 5 tour pages, 1 join page) - $1500 Down Payment
Option 4 - $3500 - 10 page site (1 homepage, 8 tour pages, 1 join page, 1 links page) - $1750 Down Payment
Option 5 - $8,000 - 1 Option 4 Adult site and 1 Casino site.
savings of $1,500.00
Option 6 - $13,750.00 - 5 Option 4 Adult sites.
savings of $3,750.00
Option 7 - $25,000.00 - 5 Casino sites.
savings of $5,000.00
Option 8 - $35,000.00 - 5 Adult Option 4 sites and 5 Casino sites.
savings of $12,500.00
Accept Terms?

PAYMENT INFORMATION

Expiration Date:Month: Yr:
Card Number:
CDV Code:	* THE 3 DIGIT NUMBER ON BACK OF THE CARD.
Name as it appears on Credit Card: