Web Site Design Request Information Use the Following Form to indicate your interest in Auzzie.Biz Domain Services. Webpage Design & Creation and Services: (Inclusive of GST. To calculate the amount of GST divide the fee by 11.) Item No: No. required (please indicate) Description: (these descriptions are examples of basic packages other options available on request) Fee per item AU$ 1. 1 page Website (A4 page including text, 2 photos, graphics and links & hit counter) 100.00 2. 3 page Website including customised feedback form (3 x A4 pages including text, 2 photos, graphics and links & hit counter) 290.00 3. Business Package (3 x A4 pages including text, 2 photos, logo, graphics and links & hit counter). A customised feedback/inquiry form. Site Registration with Search Engines (Basic Serch Engine Submission) 450.00 4. Corporate Website (over 20 pages) Please Inquire for Quote 5. e-Commerce - Sell your products on the web. Shopping Cart with product Manager customised to blend in with your web site. See Example Please Inquire for Quote 6. Guest Book (server cgi-bin access required) 100.00 7. Customised Feedback/Inquiry Form (server cgi-bin access required) 75.00 8. Basic Site Registration * with Search Engines. (your site submitted up to hundreds of Search Engine /Listing Sites) * Disclaimer 66.00 9. Web Hosting Economy Package - more info... $16.50 per month 10. Web Hosting Standard Package - more info... $22 per month 11. Web Hosting Enhanced Package - more info... $42 per month Do you require web site hosting? Yes No Do you require domain name registration? Yes No Do you prefer to pay by: Direct Deposit Cheque/Money Order Credit Card ** Policy Contact Information: ( ** indicates required fields) ** Name: Company: Address 1: Address 2: City: State: Zip/Postal Code: ** Country: Voice Phone: Fax: ** Email: Comments/Requirements: