Web design, PHP Programming, Linux, Windows, Hosting, adnplanet.co.uk

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ORDER ONLINE:

Please fill-in the following form with ALL your details and select the payment method. You can add an additional comment if you wish.
An ADNPLANET account executive will contact you to confirm your payment.

I agree the Terms & Conditions (read the Terms & Conditions)

YOUR PERSONAL DETAILS

Company

Last Name

Name

Address

City

State/Province

ZIP Code

Phone

Fax

Country

E-mail

ADMINISTRATIVE INFO

Package

Ecommerce Light Package

Quarterly Fee

us$ 44.95

Setup Fee

WAIVED

DOMAIN NAME TO BE HOSTED

Domain Name

METHOD OF PAYMENT

Credit Card (online)		We have 2Checkout INC. as our Sales Agent.

Western Union

Send to :
Fabian Marsiglione
Saavedra 165 1ro. 11
Va.Carlos Paz, Argentina
CP: 5152

ADDITIONAL COMMENTS

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