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.
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) are you interested in?
UD WebBuilder   Template Pkg   Web Presence Pkg   Custom Development Pkg
Shell Only Pkg   FTP Only Pkg   E-Commerce Pkg  
REVIEW DEVELOPMENT PACKAGES


Which website hosting plan fits you best?
UD WebBuilder Pkg
Plan C   Plan D   Plan E   Plan F  
REVIEW HOSTING PLANS



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

Were you referred to us? If so, please provide name.
Referred by:


Your Company Name:

Your Name:

Address:

Address 2:

City:
   State:    Zip:
Country:

Phone:

FAX:

E-Mail:

NNEP #:

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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