:: EVITE PACKAGES ORDER FORM

---

Please select one of the priting & custom design packages below.
Click on the one that suits your interests and those of your company best.

Package Option
1 E-Vite ..................................................................................... 2 E-Vites ................................................................................... 3 E-Vites ................................................................................... E-Vite Program .........................................................................					$ 69 $ 99 $140 $ 39.99/month
Contact Info
Please fill in all fields marked with a *
	First Name	*		Address	*
	Last Name	*		City	*
	Company Name	*		State/Province	Alberta British Columbia Manitoba New Brunswick Newfoundland NW Territories Nunavut Ontario PEI Quebec Sasktchewan Yukon ---------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Misouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pensylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *
	Phone Number	*		ZIP/Postal Code	*
	Cell Number			Country	Canada United States International *
	Fax Number			Email address	*
Company Info
	Same As Above
	Street Address			State/Province	Alberta British Columbia Manitoba New Brunswick Newfoundland NW Territories Nunavut Ontario PEI Quebec Sasktchewan Yukon --------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Misouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pensylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
	Suite Number			ZIP/Postal Code
	City			Phone Number
	Web Site			Fax Number
	Additional information			Upload Your Company Logo; * Or you may email it to us at a later time
	* If there is something you would like to add to your design: i.e.- details about your company, please mention it above.
Layout Options
	I would prefer a Vertical Layout
	I would prefer a Horizontal Layout
Payment Method Options
In order to serve you better, we at LogoSHARKS offer 2 methods of payment: · Payments via Mastercard, Visa or American Express · Payments with certified checks or money orders
Please select one of the two payment methods below;
	I would prefer to pay by credit card on a secure server
	I would prefer to send a certified check or money order
	*Please note that in selecting this method, work will not commence until payment has been received. A representive will use the phone number provided in Contact Info to contact you.
	Send certified check/money order to:   Media Core Marketing 6101 pl.Des Groseilliers Montreal, Quebec H1M 1V5