NEW ORDER RESET / START NEW Order Form - New Order Type * New Customer Upsell Renewal Free Completion Reconnection Release / Cancellation Monthly / Owed Customer Business Name * Enter the FULL business name. Business Name * Select a Company 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 * Select a service...AEO PlanAEO BoostAnnual RenewalAccessibility ToolAdditional BandwidthAdditional Keywords - SEO Plan UpgradeAdditional PagesAdvanced Map BoostAreas We Cover PageBing Map Set UpBing SEOBlogBooking FormsBooking SystemBrochureBusiness CardsBusiness VideosCall AnsweringCancellation FeeChatbotCompliment Slips & Appointment CardsContact PackCRM Email MarketingCRO PackageCustom Build WebsiteDigital BrochuresDirectory BoostDomain BoostDomainsE-Commerce WebsiteEmail Marketing CampaignEmail SignatureFacebook Set UpFlyers and LeafletsGDPR CompliancyGeo PagesGoogle Ads – Direct AccountGoogle Ads – Reseller AdsGoogle Guarantee / VerifiedGoogle Map OptimisationGoogle Map Set UpGoogle Review NFC CardsGoogle SchemaGoogle Workspace (G-Suite)Invoice System (Form)Invoices & Letter TemplatesJob AdvertisingLanding PageLive Chat PluginLogo DesignMap BoostMicrosoft Office EmailsMonthly/OwedPayment GatewayPhone NumbersPlatinum WebsitePower DomainPress ReleasePro WebsiteProduct of the MonthProject PagesProtection PackageQR CodeQuote FormSEO BoostSEO PlanServer UpgradeSocial Media Posts & ManagementSocial Media SetupSocial Media Targeted AdsSSLStandard Email (Server)Standard HostingStar Reviews - Directory ProfileStar Reviews - Live WidgetSubdomain (Site Extension)T&Cs and Privacy PolicyTransfer FeeTrustPilot Set UpVoicemail InboxVOIP IVR SystemVOIP NumbersWebsiteWebsite Development/ChangesWhatsapp PluginOther 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. plus Add minus 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 910111212345 : 000510152025303540455055 AMPM 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 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 * Submit If you are human, leave this field blank. For any support or to request an alteration to the form, please contact design@starwebsites.co.uk.
