ULtra Web Internet Services Online Order/Payment Form
Make Credit Card/Check/Money Order/Cashier Check payable to:
UWIS
1200 McKinney, Suite 411-242
Houston, TX 77010
Name:
E-Mail:
Company:
Street Address:
City, State, Zip:
,
Phone:
Services Requested:
Select Service
Owner - WWW.Your_Name.COM = $32.00 month
Shared - WWW.u-web.net/Your_Name = $16.80 month
Web Page Design/Cunsulting = $10.50 hr
Link - $5.00 month
Add Features - $7.50
Payment Type
Select Payment Type
Credit Card
Check
Monery Order
Chasier check
Credit Card/Check/Money Order/Cashier Check#
Credit Card EXP. DATE
Name on Credit Card
Comments:
u-web
