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EasyAs Internet Letter Of Authority

Jeff Quigley of Studioquigs, our EasyAs Internet Web Design man looks forward to assisting you with your new website.

Jeff is only a phonecall away - if you have any questions that need answering or just want to have a chat about your proposed website give him a call - his number is (07) 4939 6587.

If you are ready to Rock and Roll and you want Jeff and EasyAs to create - design - register - host your site, just fill out the LETTER OF AUTHORITY form below. Basically it gives Jeff your permission to act as your agent/webdesigner.

* Indicates Fields Required (you must complete them for the form to proceed)

Title

First Name *

Last Name *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Billing Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Cell Phone Number *

URL address

Your Quote - Invoice No

Businesess Owners Name (Registrant): *

Business Name: *

ABN or ACN: *

Domain Name First Choice: *

Domain Name First Choice Domain Type:

Domain Name 2nd Choice:

Domain Name 2nd Choice Domain Type:

Prefered Email Address (i.e. jeff@mynewwebsite.com.au)

We can provide web site hosting to suit just about any needs. Please select from the options below.

Additional Message - Comments:

By completing this Online Letter Of Authority Form I agree to granting permission to Jeff Quigley of Studioquigs to act as my Web Designer and Agent for the stated website domain *
Yes I agree to Studioquigs act as my agent
NO I dont want Studioquigs to act as my agent

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