SIGN UP ONLINE FOR YOUR VETERINARY WEB SITE

*NO CREDIT CHECK will be run to set up your Internet Merchant Account.

VISA ~ MasterCard ~ Discover ~ American Express ~ are automatic when you sign up for an E-commerce web site.

Your one-time web site design fee will be charged to your credit card in monthly

INTEREST FREE installments.  Website Design Fee is non-refundable.

$300 for 24 months (interest free) for PREMIUM Veterinary Web Site 

$275 for 18 months (interest free) for STANDARD Veterinary Web Site

$125 for 12 months (interest free) for BUDGET Veterinary Web Site

     Clinic Information

Doctor's Name

Clinic Name   

Clinic Address   

City    State    Zip

Telephone     FAX

E-mail

Web site Information

Designer Template Choice

Do You Have A Domain Name?    YES        NO   

If YES, What Is Your Domain Name?

If NO, What Domain Name Would You Like?

    First Choice        

    Second Choice  

    Third Choice       

We will do our best to register your First Choice for your Domain Name, however,

if your first choice has already been taken, we will attempt your alternative choices.

A Domain Name registration fee of $15 will be charged to your web site setup fee.

Your Domain Name will be registered for 1 year. 

We will notify you and renew your Domain Name for you before it expires.

Who Is Your Internet Service Provider?

Do You Want the INTERACTIVE APPOINTMENT BOOK

for $49.95 per month?  YES     NO   

Account Information

Monthly Website hosting fee for an PREMIUM web site is $229

Monthly Website hosting fee for an STANDARD web site is $129

Monthly Website hosting fee for an BUDGET web site is $75.00

Your monthly hosting fee will be deducted from your credit card each month. 

If you select additional monthly services such as the Interactive Appointment Book

an additional charge of $49.95 will be added to your monthly Web Hosting Fee. 

You may terminate your web site hosting at any time without penalties

by giving VetWebDesigners.com 30-days notice prior to termination, however,

your one-time Website Design Fee is non-refundable.

Which veterinary website package do you want?    PREMIUM    STANDARD  BUDGET

To What Credit Card Will Your Website be charged? VISA MasterCard Discover AMEX

Credit Card Number            

Expiration Date    Month        Year        CCV (3 digit code on back of card)  

Name on Card

Billing Address on Card

City    State    Zip

By clicking "SUBMIT" you confirm that you have read and agree to all of the terms and conditions as stated herein and as contained in the content of this web site concerning all fees in connection with web site setup, merchant accounts, web hosting, and web site services, and that you authorize VetWebDesigners.com to establish an Internet web site and/or Internet merchant account in your name.