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Please use the form below to order your VRE site and a VSI associate will contact you within 24 hours.

Domain Name Information:
Primary Domain Name(s):
1st Choice
2nd Choice
 
Additional Domain Names:
These domain names will "point" to your primary domain name. There is an additional $50/year fee for each.
1st Choice
 
2nd Choice
 
Web Site Content:
Please check the pages you would like included in your site:













Please enter the cities you want for Community Information and Keywords:
City 1:
City 2:
City 3:
City 4:
City 5:
City 6:
Email:
Please enter the email addresses you would like with your primary domain:
Name: Password:
Name: Password:
Name: Password:
Name: Password:
Name: Password:
   Name: Password:
Name: Password:
Name: Password:
Name: Password:
Name: Password:
Web Site Design and Development Pricing:

Web Site Hosting, Promotion and Reporting Pricing:
3 or less Agents Hosting: ($49/month):
      or  

4+ Agents Hosting: ($69/month)
      or  

Domain Name Fees:
$ Domain Fees (calculated from above)

$ Total
Client Information: (Your personal information is NEVER shared with anyone.)
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Preferred Payment Type:
Comments:

  Once your order is received, a VSI representative will contact you to finalize it.

800.463.8997 Toll Free - 239.334.3988 Voice - 239.226.0344 Fax
VRE - by Virtual Softworks, Inc.
© 2002 Virtual Softworks, Inc.

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