Display of OzeWebHost Secure E-Commerce Forms
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NB: These forms are for display purposes only.
The 'Submit', 'Proceed', etc, buttons do not work.

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  • Product Order Form --- (completed by customer)
    We create this form for your web site, and this will be used by your customers to select the goods and/or services they wish to purchase from your web site.
  • Payment Form ---  (completed by customer)
    This is the form your customers use to enter their payment and contact details.
  • Verify order by customer --- (completed by customer)
    This form is automatically generated by our E-commerce server and your customers use this to check their selection and submit final verification to your web site.
  • Notification of Order ---  (emailed to you)
    This email is sent to you immediately your customer submits his 'Verify Order' form. This email contains a link (the blue underlined text) which you click on to be taken to the secure part of your web site.
  • Seller's copy of order --- (downloaded by you)
    After clicking the link in the email, you will connect to the 'Unprocessed Orders' section of your web site via a secure encrypted link. Your customer's completed order will then appear on your screen for printing and processing by you.
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OzeWebHost Secure Order Form
Web hosting & web design services
(all prices include GST)
Product or Service Required
370spc2.gif (66 bytes)
Cost Quantity Select
Standard web hosting package @ $27.50/month
(payable quarterly in advance by credit card debit)
$82.50/quarter
E-commerce web hosting package @ $49.50/month
(Payable quarterly in advance by credit card debit)
$148.50/quarter
Casual web page design @ $110 per page
$110.00
Standard business web site
(5 pages +search engine registration)
$450.00
Deluxe business web site
(10 pages plus contact/enquiry form)
$995.00
Addition of secure E-commerce @ $250 per web site - setup & design
(allows you to accept credit card payments over the Internet)
$275.00
When you have made your selection(s), please click the 'continue order' button to proceed to our secure payment form. Your credit card details will be transmitted over the Internet using secure encryption for your protection. stamp.gif (7603 bytes)
Continue Order
(*Display form only - button not working)


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OzeWebHost Secure Payment Form
(*all prices include GST)
Order Details
Product Unit Price Quantity Subtotal
E-commerce web hosting package
(Payable quarterly in advance by credit card debit)
$148.50/quarter 1 $148.50
Deluxe business web site
(10 pages plus contact/enquiry form)
$995.00 1 $995.00
Addition of secure E-commerce @ $275 per web site
(accept credit card payments over the Internet
$275.00 1 $275.00
Total Due:
$1,418.50
Ongoing deduction per quarter from credit card:
$148.50
Please provide the following information:
Mr. Mrs. Ms.
First name
Last name
Business name:
(if appropriate)
Street address
Address (cont.)
Town or City
State/Province
Zip/Postal code
Country
Telephone:
FAX:
E-mail:
Credit Card Type (check one of the following)
Bankcard Visa Mastercard Amex
Name on Card:
Card number:
Card expiry date: Month: Year:
Please insert any additional information in the text box below:
Verify Order
(*Display form only - button not working)


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OzeWebHost Secure Order Vefification

Customer Details Title: Mr.
First Name: Fred
Last Name: Smith
Business Name:  
Street address: 1 None St
 
Town/Suburb/City: Cooma
State: NSW
Country: Australia Postcode/Zip: 2630
Phone: 1234567 Fax:  
E-mail: fred@somewhere.com.au
Credit Card Payment Details
Payable to: OzeWebHost Web Hosting
Card type: Mastercard Expiry date: Sep2000
Card Number: 1111-1111-1111-1111
Name on Card: Fred Smith
Order Details
Product Unit Price Quantity Subtotal
E-commerce web hosting package
(Payable quarterly in advance by credit card debit)
$148.50/quarter 1 $148.50
Deluxe business web site
(10 pages plus contact/enquiry form)
$995.00 1 $995.00
Addition of secure E-commerce @ $275 per web site
(accept credit card payments over the Internet
$275.00 1 $275.00
Total Due:
$1,418.50
Ongoing deduction per quarter from credit card:
$148.50
I agree to pay the above amount to OzeWebHost.
In this box you must type the word: 'Agree'.     I
Submit Order
(*Display form only - 'Submit Order' button disabled)


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Email to: <yourname@yourdomain.com.au>
From: <OzeWebHostsecure@OzeWebHost.com.au>
Subject: Customer order
 


An order has been placed on

https://www.OzeWebHost.com.au/ecomorders.html
(click the above link to see order)

 

 


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PLEASE PRINT THIS ORDER FORM AND FILE FOR YOUR RECORDS
(After printing this form, click the 'Printing completed' button at the bottom of this page)
OzeWebHost Web Hosting
OzeWebHost Secure Online Payment System
Order number: TS 20391 Date rec: 17 May 2000, 11:42
Customer Details Title: Mr.
First Name: Fred
Last Name: Smith
Business Name:  
Street address: 1 None St
 
Town/Suburb/City: Cooma
State: NSW
Country: Australia Postcode/Zip: 2630
Phone: 1234567 Fax:  
E-mail: fred@somewhere.com.au
Credit Card Payment Details
Payable to: OzeWebHost Web Hosting
Card type: Mastercard Expiry date: Sep2000
Card Number: 1111-1111-1111-1111
Name on Card: Fred Smith
Order Details
Product Unit Price Quantity Subtotal
E-commerce web hosting package
(Payable quarterly in advance by credit card debit)
$148.50/quarter 1 $148.50
Deluxe business web site
(10 pages plus contact/enquiry form)
$995.00 1 $995.00
Addition of secure E-commerce @ $275 per web site
(accept credit card payments over the Internet
$275.00 1 $275.00
Total payment:
$1,418.50
Ongoing deduction per quarter from credit card:
$148.50
I agree to pay the above amount to OzeWebHost.
NB: (this will appear on your credit card statement as 'Townseek')
Signature:
 
Date:
 
WARNING:
Ensure you have a printed copy of this order form before clicking the  
"Acknowledge Printing" button below.

(*This is display form only - the button does not work)

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