UD Logo Universal Design Internet Services
Web Site Order Form
Please fill out the form below to submit your web site development information. 
We will contact you to confirm the order.  Thank you.
Websites with AP Easy internet reporting module
Do you own your own domain name?
YES       
NO
     Do you wish to have your own domain name?
     NO
     YES
          What name(s) would you like? We will research these and let you know if they are available.
          
          
          


Which website service(s) will you be needing?
Hosting AP Easy module only (already have existing website that will not be moved, and that this will be linked from)
Web Presence Pkg (2 pages, basic contact information w/response form)
Custom Development Pkg (6 pages, with images and graphics)
Shell Only Pkg (we host, someone else is building website)
E-Commerce Pkg

Are you interested in any of the following Additional Services?
Secure Server Online Credit Card Processing FTP Service
FMP 4 & 5 Data Base Hosting List Server Calendar
Visible Site Counter Info Pop Up Screen Banner Hosting
Flash Animation Image Maps Extra Pages
Active Headline Box Shopping Cart .GIF Animation
Custom Graphics/Website Design Sound

Who is your contact person at Small Business Computers of New England (developers of AP Easy).
Primary Contact:

Your Company Name:

Your Name:

Address:

Address 2:

City:
   State:    Zip:
Country:

Phone:

FAX:

E-Mail:
Required
Comments:
When the above information is completed, click on the following
"SUBMIT FORM" button to automatically send it to us...

Mailing Address:
Universal Design, Inc.
P.O. Box 278
Louisville, Kentucky 40201-0278 USA

Phone: (502) 212-7500
Fax: (502) 212-7504
E-Mail: info@ud.net


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