Perdido Beach Automation
Perdido Beach, Alabama
Domain/Web Service Order Form
You are our most valued asset and we appreciate your business.
 Fill out the form carefully, click the SUBMIT button (at bottom of form) when you are ready to send.
There is NO CHARGE until you re-confirm this order via e-mail

Name

 

Company

 
Address  
City, State and Zip Code  

Telephone

   (xxx-xxx-xxxx)

Email Address  

 

 (please double check ,  our system responds to your e-mail address entry)
Quote ID number    If you received a quote, please reference your quote ID number
How did you find us
When complete Click the SUBMIT button at the bottom of this form.
This order is for a Complete Solution Web Site Package that includes: Domain Name, Web Site Design, Set-up, Hosting, Publishing and Maintenance    Quoted Prices are for the initial Design Set-Up service year.  Subsequent years are at highly reduced maintenance rates.  See our Web Services Description Page for estimated charges.  This order includes domain registration* ,HOSTING, Includes Domain Name of your choice (if available), Web Site Design, Set-Up and Maintenance, up to 4 E-mail Addresses for your domain , 1 hr Monthly maintenance (for changes), includes limited graphics, photographs, e-mail links , search engine submission and other options for ONE full year.  If you have questions, use our convenient Questions/Comments e-mail box at the bottom of this form.
Please provide the Domain Name you want for your new website.
A domain name would be like this example: perdidobeachautomation.com
*You can select any name you wish as long as that name is not currently in use on the World Wide Web.  Please provide the requested domain names in the order we should attempt to secure as your website domain name.
We will attempt to secure/register the domain name for you after we have verified it is available and you reconfirm this order via e-mail.
 
There is a $14.95 non-refundable, one time charge for domain registration in event you decide not to continue with the requested service from Foster and Foster Automation.
Select your domain name carefully..
Requested Domain Name:    (enter optional names in order of preference)
This domain name cannot be changed after it is registered.  The only option at that point
would be to register a new domain name at an additional one time charge of  $14.95
 
Enter your Domain Choices here:

Primary Website Domain Name Requested

1st Alternate Website Domain Name

2nd Alternate Website Domain Name

*Domain Name/Registration Required (No Additional Charge)
Additional information or Comments ?
(press SUBMIT once and wait for us to process your order)
* Domain names of your choice are subject to availability. 
Once this order is confirmed by you, we will take immediate action to secure your web site domain name.  You are important to us and we thank you for this order. Your business is appreciated.
Our system will send an immediate automated e-mail confirmation to the address entered on the order.
You will receive a follow-up e-mail to personalize the details of your order.
 This e-mail will detail your selections, options, order number, define our charges,
payment options and request your confirmation of this order.
 There is NO charge until you re-confirm this order.
We look forward to serving you.
Kindest Regards,
Foster and Foster Automation,
 Perdido Beach, Alabama