Lipari Web Design

 

Authorization Form

Please begin design of my web site today. I understand that I will not be charged for any work provided by Lipari Web Design until I have authorized publication of my site under the domain name registered by or for me. I may decide to cancel web site design any time prior to final publication.

Name: _____________________________________________________________

Signature: __________________________________________________________

Date: ______________________________

Please return signed form to:

Lipari Web Design & PC Repair
353 Lake Road
Ontario, NY 14519