Choose the number of websites you want to purchase from the Pricing Details below.

Pricing Details

Websites

$2800Per Website
  • One time investment
  • Includes 2 years Hosting &Support

Complete the form that follows including payment information.

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How Many Websites You Will Buy :

Purpose for Buying the Websites :

How did you hear about us? :

Personal Information (For Website Registration Use)

Create Username :

Create Password :

First Name :

Last Name :

Select Dental Speciality :

Contact Number :

Email :

Your Current website Domain :

Address Line 1 (Street Address, PO Box) :

Address Line 2 (Apartment, Suite, Unit, Building) :

City :

State :

Zip Code :

Country :

Preferred Payment Method : 50% Due when placing order

Billing Address

(If Yes, Please Proceed to Credit Card Information)

(Street Address, PO Box) :

Suite :

City :

State :

Zip Code :

Credit Card Information

I authorize BK Dental Consulting to charge my credit card below.

Account Type :

Card Holder / Account Name :

Card Number :

Expiration Date :

CVV2 # :