Fixit Secure Order Form

Services Selected: Basic "Fixit" Service. This service will enable us to check for spelling, grammar or syntax errors. Rate is $5.00 per error.  A report will be sent to you.  Overall Site Evaluation.  Includes basic service and additional elements including META Tag evaluation. Please indicate the pages you would like checked above in the web site title secion below.  Rate is $25.00 for every 5 pages. Please list Web Site Title/s and address/es (URL) that you would like checked.   Your Email Address  Name Company Address City State Zip Telephone Number Fax Number Toll Free Number Indicate Method of Payment.  Please note: using a credit card gets the evaluation process started immediately. Unless you are an established account with a good payment history we must be paid in advance. If you are not an established customer and select the "Send me bill" option,   we will email you a bill which must be paid before we evaluate your web pages. You can, if you choose, print this form and mail it with payment to New Century Marketing Concepts 611 Lavers Circle #392 Delray Beach FL 33444. Credit Card: Visa Master Card  American Express Card Number Expiration Date Name on Card Send me bill I will mail payment. Amount to be sent