Please Fill out the below application and click send or copy, paste and print and fax it back to us at 877-781-2568
Fill out and submit
this form to begin the process. This form can be
submitted by any party who intends
to purchase a custom website offered for sale CMD
All fields
marked with an * are required
*Company:
*Name
(first & last):
*Street
Address:
*City,
*State, *Zip Code:
,
,
*Country:
*Phone, Ext:
,
Fax:
OPTIONAL:
IF you have already registered
your own domain name, what is that
name?
Do you want us to locate and set
you up with the best domain name for
your business?
Good domains are one of the best
ways to increase traffic.
Yes. Locate me the best domain name
you can find. (there is an extra $15.00 charge)
*I would like my username to be:
*What would you like for a
password?
*Description of your products and
services:
This is for Search Engines and your
website.
*Primary Products:
Example: tools Levis transistors
computers videos stuff. These key
words are for Search Engines. Put
them in the order of importance.
Questions or other comments:
ONGOING HOSTING FEES:
Please note, this does not apply if you already have a domain name that is set up and being hosted by another provider.All Websites require a one time setup fee of $100, in
addition to $25 per month. Your
PAYMENT INFORMATION below will be
used to deduct these fees.
I fully understand that my payment is non-refundable.
All products
on our website are surplus & salvage items Sold "AS
IS." and are non-refundable for any reason.
There are no warranties expressed or implied. CMDwholesale.com
Inc. does not guarantee that products are merchantable
or fit for any particular purpose.
Free shipping & shipping included is for shipping within
the US. International shipping & or duties does not
apply.
CMDWholesale.com
