Web Maintenance OrderForm

Web site Type(*)

Personal site

Business site

Govern site

NonProfit site

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Company Name

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Full Name(*)

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Email(*)

Please provide a valid email address

Confirm Email(*)

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Phone

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Address

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State

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City

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ZIP Code

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Country

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Order

Please select your preferred products

Web Maintenance Package(*)

Starter Web Maintenance

Pro Web Maintenance

Advanced Web Maintenance

Please select one

Order summary

Product

QTY

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Extra backup (days)

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Extra support time (hours)

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SEO

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Sub Total

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Tax

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Total

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Message

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