Type in the Form, on
screen response, (complete applicable blanks).
Press "TAB" to move between
blank spaces.
DO NOT CLICK ON "ENTER"
while completing the form. If you do that, you will close the form and
send incomplete Form!
DO NOT press the "BACK"
button because all information will be deleted if you leave this web page.
Your Order: I would like to order the
production of Arabic language web site (Samples)
by using the following web site address as a reference.
Also, I would like to receive the FREE hosting (value $83/yr) for my
new Arabic web sites.
Notes:
The Arabic language web site is usually about 2-3
standard size print pages produced from the text and graphics from the client's main web
site.
Production of educational Arabic
web sites is available about health conditions treated at your
business. Please send the title and web page address of the health conditions
at your website so that to prepare a fee quote for your review.
Client Information:
First
Name
Middle
Name
Family Name
Specialty/Industry
Business Name
Address
City
State
Zip Code
Country
E-mail Address
Web Site Address
Fees:
Build
Arabic language web site:
$69 per website FEE: Total Number of
Arabic Web sites :
X
$69 per web site = $
PAYMENT :
USA Dollars, Checks only, no
credit cards.
Orders are Paid in full and in advance by checks drawn on American banks.
Check Number
Payment Date
Sending The Order
Form
Please click on the method
used to send your payment: .
.USA
Clients: Please complete, then print the Order Form and mail it with your
check to: Doctors' Marketing Service P.O. Box 748
, Lake Forest, California 92609-0748
Non-USA Clients
To avoid delays in processing your order, pleasecomplete/send this form on line
and we will
contact you for information about transferring your funds.)
. >>> Please Review The
completed Form before you click on "Send It in". <<< .
