ORDER FORM:  Please print and fill out form and mail with money order to:
J&M Web Site Designers
1620 N. San Fernando # 6
91504 Burbank California

E-Mail: [email protected]
 
Name:
Address:
City:
State: Zip Code:
Phone Number  (        )
E-Mail:
 feature
 price 
Quanity
 Amount
Home page $10.00 1 $10.00
extra pages $5.00    
Frame $5.00    
Iframe $5.00    
message board $5.00    
Guest book $5.00    
Chat Room $5.00    
Counter $3.00    
Java scripts $3.00    
Your pics. $.50    
Our pics. $1.00    
Email $3.00    
Total