Service Purchase Form

Contact Details

Name:

Email:

Phone:

Constant Contact Username:

Which of our service packages would you like.

Single Template ($149)Five Template Package ($499)

Stages to Build?

What you can expect:

This service includes the following. We will:

Modify an advanced email template with your preferred colors and branding
Deliver a draft within 5-7 business days
Work with your designer to complete one set of revisions

You will have a period of 15 business days after work is finalized and accepted to report any problems. After the 15 day period expires, any additional work required may be charged at an hourly rate.

By checking the box below, you authorize Constant Contact to make a one-time charge of $149 (USD) to the credit card on file with your Constant Contact account. We will charge the credit card on file with your Constant Contact account once this form has been completed. All Constant Contact products and services are subject to the Constant Contact terms and conditions. You agree that we may adjust this price if the payment method on your account is not USD and that you are responsible for any taxes that may be imposed on our services

Yes, I agree.

By checking the box below, you authorize Constant Contact to make a one-time charge of $499 (USD) to the credit card on file with your Constant Contact account. We will charge the credit card on file with your Constant Contact account once this form has been completed. All Constant Contact products and services are subject to the Constant Contact terms and conditions. You agree that we may adjust this price if the payment method on your account is not USD and that you are responsible for any taxes that may be imposed on our services

Yes, I agree.

I authorize Constant Contact to use my Premium Design for the purpose of promoting Custom Services to other potential customers:

YesNo

If you have images, PDFs, or other branding materials for your design - please upload them here:

Please specify any website links that we should base the design on. If you have a website, we will include your standard navigation links, so you don't need to specify those here:

Link:

If there is anything else we should consider when building your email, please include it here:

Contact Information