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Web Order Form 2 - Komena.Com
Komena.Com
Refered by (Or Sales Rep Name)
Todays Date
Your Contact Details
Which Province do you stay?
-
Gauteng
North West
KZN
Free State
Eastern Cape
Western Cape
Northern Cape
Limpopo
Mpumalanga
Other
Company Name
First Name
*
Surname
*
ID or Passport Number
*
Physical Address
Cellular
*
Email Address
*
Repeat Email Address
*
Web Hosting Bundle Packs
Bundle Packages (Includes 12 Months Hosting, Domain Registration and Setup, and Basic Website Design)
-
Web 1 (R1200-00 per Year) - 1 Web Page (A4), 1 Email Address
Web 2 (R1850-00 per Year) - 3 Web Page (A4), 3 Email Address
Web 3 (R2950-00 per Year) - Upto 5 Web Page (A4), 5 Email Address
Web 4 (R4950-00 per Year) - Upto 8 Web Page (A4), 8 Email Address
Web 5 (R6500-00 per Year) - Upto 12 Web Page (A4), 12 Email Address
Web 6 (R TBC-00 per Year) - This Job will be Quoted On Seperately
How Long Web Hosting Package/Contract would you like?
-
1 Year (Standard)
2 Years
3 Years
4 Years
5 Years
What Domain Name do you want for your Business (3 Options Please)? to be: ie www.yourname.co.za
Domain Type
-
.co.za
.com
.other (to be quoted on)
Domain Name 1
Domain Name 2
Domain Name 3
Optional Extra's
Electronic Flip Book for Website (Optional)
-
Electronic Flip Book Upto 5 Pages - R950-00
Electronic Flip Book Upto 10 Pages - R1950-00
Electronic Flip Book 11+ Pages - R tbc
EBF-Artwork / Layout (R250-00 per Page) for Electronic Flip Book
Special Scripts for Website (Optional)
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E-Commerce Facility - R tbc
Specialised Scripts - R tbc
Software Development and Database - R tbc
Magazine and Social Media Advertising (Optional)
-
Business Card Advert - R100-00 per Month
Quarter Page Advert - R300-00 per Month
Half Page Advert - R450-00 per Month
Full Page Advert - R795-00 per Month
Front Page Advert - R1000-00 per Month
Design of Advert (Once Off) - R250-00 (Changes at R150-00)
Other Options - Prices TBC
** If Other Option above is selected describe here
Agreement:- I accept the Full Terms and Conditions Listed Here.
*
I hereby accept that the above is correct and confirm that I agree to the Standard Terms and Conditions List. Full terms and conditions list is available on the website www.komena.com E&OE. Cash or Electronic Transfer will be accepted (No Cheques). Once this order is accepted and invoice paid it is taken that you have accepted everything and is binding and will not cancel by any method whatsoever. If clients wish to cancel they have to give a 2 calender month written notice of such and the balance of the contract can either be transferred or forfeited. No refunds will be given unless approved by our office in writing. Domains and Hosting are renewed 90 Days prior to end of contract.
I agree
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