Orders – Star Websites

Order Type

New Customer

Upsell

Renewal

Free

Completion

Reconnection

Release / Cancellation

Monthly / Owed

Customer

Business Name

Enter the FULL business name.

Business Name

Customer Name

Phone No.

Email

Address

Please enter FULL address for new orders.

No. of Employees

Products & Services

Please add each service that needs to be booked in on a separate line with the associated costs. Please only enter numbers into the cost fields (+VAT will be added automatically).

Service Service

Upfront

+VAT

Amount paid today.

Monthly

+VAT

Balance

+VAT

Amount left to pay.

Notes

Website / URL for this service:

www.

Website domain for this service if applicable.

Add Remove

Split Payment?

Yes

No

Total Upfront

+VAT

Total Monthly

+VAT

Total Balance

+VAT

Further Info

Is a design consultation needed?

Yes

No

Design Consultation

Time

If call can be anytime just change to either AM or PM and leave hour/minutes blank.

Promotional Credit Applied?

Yes

No

Lead Source

Payment

Has payment been taken?

Yes

No

How was payment processed?

Card No.

CN

Expiry Date

EXP

CVV

Account No.

AN

Sort Code

SC

Direct Debit Confirmation

I have made the customer aware that the Direct Debit will be processed & managed by Eazy Collect which will appear on their statements as Eazy Collect.

No Direct Debits details have been taken.

Client requested a call from accounts to get DD details.

I need to go back to the customer to explain how the direct direct is processed & managed.

Payment Information

Account Manager Sign Off

Date of Order

Please select the correct date of order.

Account Manager

Account Manager Email

I have checked all details and confirm that this order is 100% correct

NEW ORDER

Customer

Products & Services

Further Info

Payment

Account Manager Sign Off