Let's Get Going Form_My Web Solution (Website, Logo, Video Creation Payment Form)

"LET'S GET GOING" FORM!
My Web Solution

Websites, Logos, & Adverts
created by the class based industry's most innovative company.
Your Name*

First NameLast Name
Company's Name*
Current or prefered web address*
How did you find out about us?*
Company's Name*
Current or preferred web address *
Phone Number*

Area CodePhone Number
E-mail*
Special Notes, Questions, or Requests:
Are you purchasing a website creation?*

Yes.No, I am only interested in one of your stand alone services (Video Advert, Logo, Etc).
Website Creation Money Back Guarantee*
Put us to the test, if we cannot satisfy your requests and needs, within 30 Days post product creation, we will give your money back in full.

Website Release (if discontinuing service)
If after trying one of our service packages and you feel it is not for you, there is an opportunity to buy out your website for release to you. This comes with edit training on how to edit your website.
< 3 months post service – $750.00 editing training and 30 day consulting.
3 months post service – $650.00 editing training and 30 day consulting.
6 months post service – $550.00 editing training and 30 day consulting.
> 12 months post service - $500.00 editing training and 30 day consulting.

* Note, “requests and needs” defined by what would be a reasonable expectation in the website creation industry.
Please view all the website service terms here!
What Service Package will You be Choosing?*

None, I am choosing the "release" option.Bronze ($198/mo)Silver ($349/mo)Gold ($975/mo)Not sure at this time
NOTES*
Do you need to pay?*

Yes.I already paid.Other.

AMOUNT:

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: