ODLWEB Internet Services and Site Design

Site Hosting & Design Services

Enquiry or Order site hosting.

ENQUIRIES

Please direct enquiries to our Help Desk or phone 61-8-8325 2996.

ORDERS

To order complete the form below or call / fax us on 61-8-8325 2996.

If you wish to conveniently order on line please use this form. If you prefer to call us please ring 61-8-8325 2996.

Customer Details

Given Name:
Surname:
Email:
Phone:
Details

Package/Product:
Require Domain Name:	(may be at extra cost)
Special Notes:


Billing Details
	NO MONEY NOW!
	We will provide a TAX INVOICE for payment. This will be emailed or posted. Details on how to make your payment will be included at that time. Please fill in a company or billing name if different from above.
Company / Billing to:
ABN/ACN (if applicable):
Payment Method:	(in $AUD)
Postal Address:
State/Province:
Country:
Postcode / Zip:



	We will contact you shortly after your order placement.
	If you have any questions at all then call us on 61-8-8325 2996 or if you prefer you can use our help desk.