New Customer Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Please Specify
*
Feedback about us:
Suggestions if any for further improvement:
Will you be willing to recommend us?
Yes
No
Maybe
Please give reference of any two people whom you feel:
Full Name
Address
Contact Number
1
2
Please upload the files jpeg, png for your order and docs. Or word docx
Browse Files
Drag and drop files here
Choose a file
Cancel
of
My Products
prev
next
( X )
Lower Thirds only
Lower Third with Top Banner
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Lower 3rd with 3 D photo with frame
Lower 3rd with 3 D photo with frame
$
75.00
Lower Third with Side Frame
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Giving Overlay
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
2 Lower Thirds without Frames
2 Lower Thirds without Frame for live stream on
$
100.00
Video Rectangle Frame
Full Frame for Video Streaming
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Video/ Commercial Voice Overs
Video/ Commercial Voice over services
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Intro Voice Over Services
Ministry, Radio show, Intros or Outro Voice Recording Services
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Outro Voice Over Services
Ministry, Radio show, Intros or Outro Voice Recording Services
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: