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General Services
ORDER FORM
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General Services Order Form


WebStar Media General Services ORDER FORM

Use this form to order any of our WebStar General Services! If you need web hosting or domain services then please use our "Web Hosting Order Form".

Describe Below What you want to order. Be sure to include price and total payment for Charge Orders, etc. Use this form for Pay Banner ads, Pay Classified ads, Pay Display ads and other items.

All Items In BOLD are Required!
Customer Information

Name:
Company Name:
Type of Business:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Daytime Phone:
Home Phone:
FAX:
Email:

Payment Method
MasterCard
Visa
Check/Money Order
(WebStar will process your order upon receipt of your payment)
Please remit Payment to:
Send this form with submit or Email to: WebStar Media or Postal Mail to:
WebStar Media Internet Services
%Cole
P.O. Box 399
Lubec, ME. 04652

Card#:
Expires:
Cardholder Name:


Where Did You Hear About Us?:
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Direct Email
Our Website
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Other

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Email: WebStar Media