Web Site Maintenance - pages edited, image scanning, graphic creations, online marketing updates Online Order Form

Site Updating Order Form

Thank You for your interest in our services. Please fill in all applicable fields on the order form below then simply click the "Submit" button. You will then be transported to the payment processing center. If you are not yet finished shopping, you may simply hit the "BACK" button from there. But Don't Forget to return to the secure payment center to complete your order.
In order to make every effort to keep costs down and pass the savings on to our clients, we do not accept credit cards. You may pay by check online or via fax and of course, there is always snail mail (post office).

I HAVE READ AND AGREE TO ALL POLICIES AND TERMS AND CONDITIONS AS SET FORTH BY SIMPLEX SERVICES FOR THE SERVICES ORDERED HEREIN: YES NO

First Name

Last Name

Company:

Address:

Address :

City, State, Zip: ,

Phone:

E-Mail:

URL:

Services Requested:

Comments:

I HAVE READ AND AGREE TO ALL POLICIES AND TERMS AND CONDITIONS AS SET FORTH BY SIMPLEX SERVICES FOR THE SERVICES ORDERED HEREIN: YES NO
First Name
Last Name
Company:
Address:
Address :
City, State, Zip:	,
Phone:
E-Mail:
URL:
Services Requested:
Comments: