Please Note: This company does not create, edit, or maintain "adult" sites. 7th Moon Services Request Form Your Name (required): Your Phone Number (Please Include Area Code): Your E-mail (required): Your Address: Street/Apartment/P.O. Box City State and Zip Code Preferred Completion Date: Is this for business or personal use? Business Personal Select the package you're interested in. Basic -- $375 Step Up -- $650 Step Beyond -- $1125 Are you interested in search engine submission? yes no Are you interested in additional requests or upgrades? If this is so, please type any you're interested in below, along with any comments, questions, or concerns you might have. © since 2001 The 7th Moon Graphics & Web Designs. All Rights Reserved. Designed by Amanda Marshall, in association with The 7th Moon Graphics & Web Designs