Ordering form for Digital Hub Sites Branding Hub Site Order Form Name First Last Business / Company / Website Name:ABN:Address for invoicing* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Step 1: Choose Your Package OptionPlease selectBranding Hub SiteMarketing Hub SiteAuthority or Custom Hub SiteStep 2: Choose Preferred Payment MethodPlease selectI wish to pay via Bank Transfer (EFT) We will send you a Tax Receipt when funds are received into our accountI wish to pay via Credit Card (incurs 1.75% processing fee)Step 2: Choose Preferred Payment MethodWe will send you a Tax Invoice for your Authority Hub Site as detailed on your Proposal / QuotePlease selectI wish to pay via Bank Transfer (EFT)I wish to pay via Credit Card (incurs 1.75% processing fee)Step 3: Choose Whether You Wish To Pay Upfront or via Payment Plan"EFT Payment for the Branding Hub Site Entry Level Package"$3,999 + GST ($4,398.90) I do not wish to pay instalments. I wish to pay in full the amount that I acknowledge has been discounted3 x $1,572 + GST ($1,729.20) – I wish to be allowed to pay the full amount of $4,716 + GST ($5,187.60) in 3 monthly paymentsStep 3: Choose Whether You Wish To Pay Upfront or via Payment Plan"EFT Payment for the Marketing Hub Site Package"$6,999 + GST ($7698.90) I do not wish to pay instalments. I wish to pay in full the amount that I acknowledge has been discounted5 x $1,652 + GST ($1,817.20) – I wish to be allowed to pay the full amount of $8,260 + GST ($9,086) in 5 monthly paymentsStep 3: Choose Whether You Wish To Pay Upfront or via Payment Plan"Credit Card Payment for the Branding Hub Site Entry Level Package - total includes 1.75% credit card processing fee" $3,999 + GST ($4,398.90) I do not wish to pay instalments. I wish to pay in full the amount that I acknowledge has been discounted3 x $1,572 + GST ($1,729.20) – I wish to be allowed to pay the full amount of $4,716 + GST ($5,187.60) in 3 monthly paymentsStep 3: Choose Whether You Wish To Pay Upfront or via Payment Plan "Credit Card Payment for the Marketing Hub Site Package - total includes 1.75% credit card processing fee"$6,999 + GST ($7698.90) I do not wish to pay instalments. I wish to pay in full the amount that I acknowledge has been discounted5 x $1,652 + GST ($1,817.20) – I wish to be allowed to pay the full amount of $8,260 + GST ($9,086) in 5 monthly paymentsDisclaimer, Terms and Conditions* I have read and agree to the Disclaimer and Terms and Conditions which was provided on my Proposal / Quote I am authorised to enter into this agreement on behalf of the business / company I understand hand-over of the website will not occur unless all payments have been completed in full Total $ 0.00 Funds TransferredBank: Bankwest | Name: Digital Hub Sites | BSB: 304-255 | Acc #: 0156929 to pay via EFT Please send proof of payment to payment@digitalhubsites.com if you would like us to setup the project before we receive funds into our account I have transferred funds using the above details I will use the above details when transferring funds Signature - Digitally sign the agreement using your touchscreen, touch pad or mouse*Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. 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