Advanced Internet Marketing
	229 Commercial Blvd., Suite 3,
	Lauderdale-By-The-Sea, FL 33308
	Phone 954- 491-5492

Website Order - Text Copy 

Click on FILE to "Save As", and save it to a folder on your computer, as AIM Order Form. 
You can then open the file and fill in the information. For  assistance, please call our 
Customer Service at 954-491-5492

Client Information  

      Please Indicate: _______ New Service , _______ Renewal Service, ___________ Transfer 

      Company : ___________________________________  / Corporation ? ____ YES ___ NO
      Name: ____________________________________ Corporate Officer ? ____ YES ___ NO
      Address: ____________________________________ Suite / Apt. _____________
      City: ___________________________________________
      State: _____________ Postal Code: _______________ Country: ________________
      Daytime Phone : ________ - ________________________
      FAX : ___________ - ______________________________
      E-Mail Address: __________________________________________________
      Internet Server Provider (If applicable) : _________________________________
      Owner Domain Address: WWW. ___________________________________________
      If Available - Domain Choice: WWW. ____________________________________________
      Starting Date: ______________________  Minimum 24 Hours for a Transferred Domain.

      Service Purchased: Server Type; __________________________  Annual Amount; $ _______________
      Service Purchased: Design Fees at 50% down; 				$ _______________ 
      Additional Services: Itemize; _____________________________  		$ _______________ 
					Total Order Deposit: 		$ _______________ 


      Agreed to this: __________________________ Date
      Your Name: ____________________________________
      For: __________________________________________
      COMPANY, CORP., PARTNERSHIP, ETC.

      Your Signature: __________________________________

      Payment Method: Credit Card: ____ Mastercard _____ VISA
      Account Number: _________ - ___________ - _____________ - ___________
      Exp. Date: Mo: ______ Yr: _______

      Cardholder name: ________________________________

      Credit Card Billing Address if different from above:
      Address: _____________________________________ Suite / Apt; _________
      City : _________________________________ State: ______ Zip: _______________

            The following provisions apply to all advertising unless otherwise agreed to in writing.
 No cancellations are accepted after Advanced Internet Marketing (aka AIMwebs) has started to 
run the web site. All web sites are subject to AIM's' approval. All advertisers agree to protect and
 indemnify AIM for any claims of libel, copyright infringement or violation or any other reason based 
upon the content or subject matter of the advertisement submitted to AIM. We reserve the right 
to modify the services provided at any time during the span of the contract. NO Adult sites and 
NO Email spamming is allowed. Violation of this provision will result in immediate termination 
of the website without notice and without any refund of prepaid fees.

            The order for the above specified services is made with Advanced Internet Marketing (AIMwebs.com) .
 Additional fees for extra services may be charged and are due when the service is completed and
 invoiced. The Ordering Party declares that they are legally able and authorized to commit to this 
agreement . The services of AIM are subject to our Terms and Conditions, included by reference
 herein, please read them before you order.

Mail or Fax this ORDER FORM to:
	Advanced Internet Marketing
	229 Commercial Blvd., Suite 3,
	Lauderdale-By-The-Sea, FL 33308
	Phone 954- 491-5492

10/24/2006