• Intranet Facelift Order Form
    		•

    Is your AgencyCentral Intranet looking tired and outdated




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    Know how, right now!




    Paul Reynolds
    Sales & Administration
    P.O. Box 1139
    Newburyport, MA 01950-6139
    978-499-1897  Fax 636-444-1897
    paul@intranetconcepts.com



    Intranet Facelift Order Form


    To fill out this form electronically, press TAB to move to each field and type your response in the field provided.



    Basic Intranet Facelift

    $525.00



    Company Setup
    If you haven’t set up your insurance company pages yet, just send a list of your main insurance carriers and we’ll do the rest.

    $250.00



    Employee Handbook
    We will convert your Word document into an HTML format like the one shown in our sample at www.intranetconcepts.com/sample/handbook.

    $250.00

    TOTAL PAYMENT ENCLOSED:

    $     .00

    Please complete the following information and return it to us with your full payment to the address shown above. Checks should be made payable to Intranet Concepts, Inc.


    AGENCY NAME:

         

    CONTACT:

         

    PHONE:

         

    EMAIL:

         

    BEST TIME TO CALL:

         










    Name on Card:

         




    Address:

         




    (if different from agency address)







    Type of Card:

    () VISA () MasterCard () AMEX




    Card Number:

         

    Expires:

         




    Signature:















    To pay by credit card, please print or type this information clearly and mail to the address shown above.


    If you prefer, you may fax this form to 636-444-1897.


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    Is your AgencyCentral Intranet looking tired and outdated

    Download 61 Kb.