MAIL ORDER FORMRM
Part 1.  -  INSTRUCTIONS

  1. Print this order form.
     
  2. Clearly mark the Certification Seals you would like to apply for.
     
  3. Clearly enter your business or personal name and email address. Please use BLOCK CAPITAL LETTERS (as shown below).

    a b c d e f g h i j k l m n o p q r s t u v w x y z A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
     
  4. Enclose the payment with your order. Please make it payable to "Website Services Inc".
    All prices are in U.S. dollars.  Payment in foreign currency is not accepted. We do not accept foreign checks. Any foreign checks will be destroyed and your order will not be processed.

    Methods of payment accepted: (please check one)

    ___ Money Order       ___ Check       ___ Travelers Checks       ___ Cash

    Important: Make money orders, checks and travelers checks payable to Website Services Inc
     
  5. Mail the order form and payment to:

    Website Services Inc
    309 E. Capitol Expressway #160
    San Jose, CA 95121
    United States
     
Part 2.  -  SELECT CERTIFICATION
 
Website Certification Seals Annual Price Total
Identity $ 30.00 _______
Security $ 30.00 _______
No Phishing $ 30.00 _______
Privacy Policy $ 30.00 _______
Dot Com Disclosure $ 30.00 _______
Spam Free $ 30.00 _______
No Adult Content $ 30.00 _______
Business $ 50.00 _______
Certification Seal $ 100.00 _______

GRAND TOTAL INCLUDED : US$  ________
 






 
Part 3.  -  CONTACT INFORMATION

Name: ______________________________________________________________________________

Email: ______________________________________________________________________________

Website: ____________________________________________________________________________

 
Part 4.  -  SIGNATURE and DATE




Signature: ___________________________________________________________     Date: ____________

 
  • Scan and email the signed mail order to:  order@websitecertifications.com
     
  • Upon receipt of your mail order form and payment, we will start working on your application within 24 hours

 

© 2008 WEBSITE CERTIFICATIONS, a division of WEBSITE SERVICES INC