Mail to:
@ctiveWEB NZ Ltd
18 Lichen Lane
RD1, Russell		  
Ph: (09) 403 8119
Fax: (09) 403 8118
E-Mail: sales@activeWEB.co.nz
Customer No:
Web Page Service Order

CUSTOMER INFORMATION
Company or Name
Billing Address
Town
Contact Name (if company)
Phone
Mobile
Fax
E-mail

SERVICE INFORMATION

Please link my web page(s) to the following listings: (one listing per page)
Accommodation Adventure Tourism Arts & Craft Books & Libraries
Dining Out Events Fishing Immigration
Marine Services Medical Museum Real Estate
Sailing Tours & Transport Others:     

Please indicate the number of pages required and if paying quarterly or yearly.
  Design Set-up Hosting: quarterly yearly
single web page $150 $30
$50 $175
2-page web site $250 $40
$70 $250
3-page web site $350 $50
$85 $295

Included is free registration with approx. 50 search engines!

AGREEMENT
I, the undersigned, hereby:
  1. Authorise @ctive WEB NZ Ltd. to design a web site on my behalf using material supplied for this purpose.
    The copyright © of all digital images and electronically published material stays with me.
    The web page(s) will be hosted as part of the domain http://www.bay-of-islands.co.nz.
  2. Agree to the Terms and Conditions outlined on ActiveWEB NZ Ltd.'s web site (http://activeWEB.co.nz/hosting/terms.htm).
Authorised Signiture
Printed Name
   Date