For Mail or Fax Orders.
Please use this printer friendly Form and Mail or Fax to (02) 96864878
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Spank Interactive  Fax No: (02) 96864878 Phone: (02) 96397710
Spank's Snail Mail: P.O. Box 65  Baulkham Hills NSW 1755 Australia

- Spank Interactive's Fax / Mail Order Form -
-Please type or print all information requested below.-

Name:......................................................................................................

Mailing Address:......................................................................................

City:............................................. Prov./State:.........................................

Postal/Zip Code:........................ Country:..............................................

Phone No.:................................... E-mail:................................................

Method of Payment: (Please Check): Cheque....... Visa....... M/C......
Bank Card....... Amex....... Diners....... Money Order.............................

Card Number:................................................ Expiry:...............................

Signature:..................................................................................................

Please tick a box.

[  ]   Please have a salesman Contact me to discuss my Website.

[  ]   Please build me a five page Business Website ASAP. ($599) Aud.

[  ]   I need a  ten page Deluxe Corporate Website ASAP.     ($999) Aud.

[  ]   I need a  Quote on a very very Special Website project. ($???) Aud.

[  ]   Register me a/some .com Domain Names ASAP.       ($99)ea Aud.

[  ]   Register me a/some .net   Domain Names ASAP.        ($99)ea Aud.

[  ]   Register me a/some .com.au Domain Names ASAP.($130)ea Aud.

[  ]   Register me a/some .net.au Domain Names ASAP.  ($130)ea Aud.

[  ]   Register a/some rare .foryou.com.au Domain Names.($99)ea Aud.

[  ]   Register me a/some rare .r-us.com.au Domain Names.($99)ea Aud.

[  ]   Quote on a Special Graphic Design, Logo Design,3D Text ($??) Aud.

[  ]   Quote on a Special Java, Miva, Interactive or Live Video. ($???) Aud.

[  ]   Quote on a Multi-media CD-Rom mastering or copying.   ($???) Aud.


1. Domain Name Requested......................................................................

2. Domain Name Requested......................................................................

3. Domain Name Requested......................................................................

4. Domain Name Requested......................................................................

5. Domain Name Requested......................................................................

6. Domain Name Requested......................................................................


Sub Total:................................  +GST: 10%..............................

Final Total:............................................(Australian Dollars)

Please use this printer friendly Form and Mail or Fax to (02) 96864878
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