|
Gift Baskets Canada Drop
Shipping |
|
Website Design Request Form |
| Yes!
I want Boodles of Baskets/Gift Baskets
Canada Drop Shipping, to design my website. I have read the terms
and conditions provided, and my signature authorizes Boodles of
Baskets/Gift Baskets Canada Drop Shipping to charge my credit card $1500 +
GST* to design and set up my website and $25.00 + GST monthly for
maintenance fees**. I understand that after the first year, domain
registration will be $17.50 per year for .com, .net, .org sites and $32.50
for .ca sites and that hosting of my site will be $80.00 per year (after
the 1st year) in addition to the above fees***. |
|
Business Name: __________________________________________________ |
| Your
Name:______________________________________________________ |
|
Address:________________________________________________________ |
|
City:___________________________________________________________ |
|
Province/State:__________________________________________________ |
|
Zip/Postal Code:__________________________________________________ |
|
Phone Number:____________________________________________________ |
| Fax
Number:______________________________________________________ |
|
Email Address:____________________________________________________ |
Please register the following domain
name:_____________________________
(You will need to ensure that the chosen domain name is available.
You can visit
www.register.ca to
check for web address availability)
OR
Here is my registered domain
name/address:_____________________________ |
|
Signature:_________________________________________________________ |
|
Date:_____________________________________________________________ |
Credit Card #:______________________________________(visa/m/c/amex/diners/discover)
exp. date_______________ cvc:__________________ |
| I
would like my website to have the following colors (optional):
_____________ |
| I
would like to include my logo in my website design (optional):
Yes/No |
| I already have a merchant
account and accept the following credit
cards___________________________________________________
OR
Please contact me with information on
how to set up a PayPal account Yes/No |
*website design fee is
non-refundable once we have begun building your website. All basket
images and descriptions remain the sole ownership of Boodles of Baskets.
**you may cancel your maintenance fees at any time with 30 days written
notice. Maintenance fees are charged to your credit card on the 1st
of each month. If payment is not received by the 10th day of the
month, your account will be considered past due and suspended until
payment in full is received.
***These fees are subject to change with 30 days advance written notice .
|
| Any requested changes to
the website, after the initial design, except for those described above
may be subject to further charges. All such requests will be given a
quote, in writing, as required for approval before such work is begun.
|
| You agree to forward all
orders received from this website to Boodles of Baskets/Gift Baskets
Canada Drop Shipping and agree to immediate removal of said website from
the internet should these arrangements be breeched. Should this occur you
agree that Boodles of Baskets/Gift Baskets Canada Drop Shipping will not
be held responsible for lost revenue or incurred expenses to you and that
you will not be entitled to any refunds of fees not already set out in
this document. |
| I agree to the above
conditions
Signature:_________________________________________________________ |
| Please print out this
form, complete and fax to: 519-979-6669 |
