DebWeb & Auzzie.Biz Domain Services - Information Request Please complete the form and click 'Submit'. *First Name: *Surname: Company/Business/Organization: Postal Address: Street Address: City: PostCode: State: ACT NSW NT QLD SA TAS VIC WA Other Other:   *Country: Phone/Mobile: Fax: *Email: *Verify Email: Services: 1 Page Web Site - $150.00 3 page Website - $350.00 Business Package - $550.00 Corporate Web Site >10 pages - more info e-Commerce - from $650 Complete Web Site - Web Hosting Package 12 Months - From $444.00 Video - 30 second video - from $550 Guest Book - from $100 Customised Feedback Form - from $75 Basic Search Engines Registration * - from $66 Other: Do you require web site hosting? Yes No Web Site Hosting Package Required: -= Select Package =- Economy Package - $16.50 per month Standard Package - $22.00 per month Enhanced Package - $42.00 per month   Do you require domain name registration? Yes No Enter the domain name your would like: Do you prefer to pay by: Direct Deposit Cheque/Money Order (AU$ only) Credit Card - MasterCard/Visa Cash Comments: Verify Authentication Code:   I never go above a quote unless the client makes additions after the work has been started. The packages and prices above are examples only and can be tailored to suit your needs.