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Customer Service Agreement |
![]() ![]() rudi@nevadaweb.com ![]() tel 702-847-0321 ![]() fax 702-847-0327 |
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Customer Information Firm______________________________________________________________________ ![]() Physical Address____________________________________________________________ ![]() Mailing Address_____________________________________________________________ ![]() City/State/Zip_______________________________________________________________ ![]() Telephone/fax_______________________________________________________________ ![]() E-Mail___________________Website address(URL)_______________________________ ![]() Contact Name______________________________Title_____________________________ To assist us in registering, indexing and promoting your website, please provide a 25-word description. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ![]() Please provide 10 keywords __________________________________________________________________________ Internet Access
E-Mail & unlimited dial-up access: $20 installation fee, $20/mo.![]() Website Services
Website Creation & Management One-time fee total:$___________ Pro-rated Quarterly Charge:$__________(through / / )![]() Signature__________________________________Date_____________________________ ![]() ![]() |