Print this page, complete it, and mail it to the address shown below.

Sold To:

Ship To: (if different than sold to address)

Site Type

Includes

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*Initial consultation is free

Background color preferences:_______________________________
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• Send at least 2 photographs of your subject. All photographs will be returned.

• Send any content information that you wish to include in the site.

• A 50% deposit is required with each site ordered (Orders from outside the U.S. require full payment with order)

• Balance of web site cost is due upon customer approval of finished web site.

• All payments by check or money order should be made payable to Marilyn Herring

• ZyberZoom © will provide the customer an online location where the customer can view the finished web site for your approval, prior to final payment.

• Cost of web site does not include hosting nor domain name registration.

• Your satisfaction with the finished web site is guaranteed or your deposit will be returned!

The customer hereby understands and agrees to all terms and conditions herein.

Customer signature: ________________________________________ Date: _____________

Send completed order form, photos and payment to:

Marilyn Herring
ZyberZoom.Com ©
6324 N. Chatham Ave. # 257
Kansas City, MO 64151-2473

Please make checks or money orders out to: Marilyn Herring

If you have any questions, or would like more information, please contact us.