Order Form

Please read the "How to Order" section carefully before you proceed with this order.  If you have any questions about how to order or what we will need to process your order contact me by email:  Stan M

This order form is applicable only for standard page design and does not apply to custom design.  Contact me via email for more information about custom design.


Instructions:  Fill out the order form and place in an envelope along with pictures, text, and your check or money order.  Send the contents to:                                                        

Stan Meissner Page Design P.O. Box 52    Forest Lake, MN 55025

You will be notified via email when your envelope arrives and again when your page has been uploaded to my test page where it can be viewed. 


Type of Page:               One Page Web: __________              Basic Web Page: __________

                                             (price $20)                                         (price $79.95) 

Background color: ______________________              Text Color _____________________


Hosting Option if this will be a Basic Web Page:              Your own ISP ____  Free Service ______ 

email address __________________________    

        Please indicate name and url of hosting service: _____________________________

        If you want me to upload your page:                       User name (for ftp) ____________

                                                                                         Password (for ftp) _____________

                                                                                         Directory name _______________


On Basic Web Pages please include an additional $6 for priority mail, insurance, and packaging (priority mail with insurance costs $4.05 + $2 to cover floppy disk mailers & envelopes) if  you want pages returned on floppy.

Total Remittance enclosed: ______________   Total pages text: _____________   Total Pictures: _____________


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