Secure Order Form

Welcome to the cyberpractic.com Secure Order page. Your submission is protected by 128 bit encryption.

SERVICE

AMOUNT PAID

Premium Web Package 1 yr. $588 + $499 setup

($1087)  $

Economy Web Package 1yr. $348 + $399 setup

($747)   $

Newsletter 1yr. $348

($348)   $

Doctors' News Service 1yr. $228

($228)   $

Online Store 1yr. $348 + $299 setup

($647)   $

Web Site Marketing 1yr. $708

($708)   $

Specialized Consulting 1st hour $149

($149)   $

 

 

ORDER TOTAL

 $

 

 

Name on card:
 

E-mail:

Address:

City:   Zip:

Card:           

Number:

Expiration:    Mo.        Yr.

                     

THANK YOU!