Contact and Order Information

Order Form
Print and Email me this form to reserve the name(s)

Michael G. Apostol
3260 Fountain Falls Way #2062
North Las Vegas, NV. 89032 USA
Telephone: 1-( 702 ) 647-2099
Fax: Call me before faxing
Contact Me E-mail Subject line "Domains for Sale"

Name _____________________________________________________

Address _____________________________________________________

City __________________________________State _____________

Zip Code _______________Country_________________

Telephone _______________________________ (to track orders)

E-mail _______________________________

Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________
Domain:____________________________ Price:__________

TOTAL ____________

Check [  ]    Money Order [  ]

** If paying by check. Please make payable to: Michael G. Apostol

Funds US
Please allow enough time for check to clear. We can work out the details so no one is left hanging during the process.........

Other Forms of Payment:   PayPal [  ]   Epassporte [  ] 
** I will provide proper account name and email when you select method of payment.
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Name (signed)                                  Name (printed)                          Date    
Thank you for your order.