|
Internet Services Contract |
Insurancesurf.com PO Box 731089 South Hill, WA 98373-1089 Phone: 888-844-6479 Fax: 253-845-7454 |
This
Internet services agreement dated the _________ day of _______________, 2001,
by and
between
Insurancesurf.com and:
Address__________________________________ City, St & Zip_________________________________
Phone___________________________________ Fax__________________________________________
Email___________________________________ Current Domain: www____________________________
If hosting or maintenance is requested we will contact you for site IP address,
username and password.
All services are based on annual contract except Domain Registration which
is minimum 2 year.
| Annual Services Item Description | Price Each | # Items or Hours | Annual
Total |
|
Domain Registration
2
yrs $ 70.00 5 yrs $160.00 8 yrs $232.00 1st
Choice Domain Name: ___________________________ |
$ | ||
| Basic Site Hosting | $419.40 | $ | |
| Secure Site Hosting | $669.40 | $ | |
| Search Engine Submission, Initial Submission | $34.95 | $ | |
| Search Engine
Submission, Each Additional Submission Monthly or Quarterly (Maximum monthly submissions due to "spamming") |
$19.95 | $ | |
| BackApp
Annual License (waived if site hosted with insurancesurf.com) |
$179.00 | $ | |
| BackApp Common Forms (listed below) | $50 | $ | |
| BackApp Unique Forms Per Side | $80 | $ | |
| Insurance Information Feeds | $179.00 | $ | |
| Standard Site Maintenance Hourly Rate | $90.00 |
|
$ |
| Standard Site Maintenance Package (Minimum 6 Hours)* | $420.00 | $ | |
| Database Site Maintenance Hourly Rate | $160.00 | $ | |
| Database Site Maintenance package (Minimum 6 Hours)** | $840.00 | $ | |
|
Services Subtotal (a) |
$ | ||
__Auto Quote __Home Quote __Business Quote __Boat Quote __Life/Health Quote
__Auto Claim __Auto Change __Property Claim __Mort./Loss Pay Change __Auto ID Card Request
__Certificate of Insurance Request __Recreational Vehicle Quote __Umbrella Quote
__Motor Home Quote __Motorcycle Quote
Calculations:
| Service Subtotal (a) | (a) | $ |
| Package Discount - 5% for
3 or more services selected above a x .05 discount amount) |
(b) | $ |
| Full Amount Due (a - b = total) | (c) | $ |
| Monthly Installment (c divided by 12 = monthly installment) | (d) | $ |
| Monthly option only available on total amounts in excess of $500 excluding domain orders. All domain orders Must Be Paid In Full. | ||
Payment Options
Initials
_____ Check enclosed for full amount.
_____ Check enclosed for 2 months, please bill me
in 10 installments
beginning 30 days from agreement date.
_____ Please charge my credit card (information below)
for the full payment.
_____ Please charge my credit card (information below)
for 2 months and charge my
credit card 10 equal installments beginning
30 days from agreement date.