Signup
Complete the form below to sign up for your website package. * = Required Field
Contact Information
*First Name:
*Last Name:
Mailing Address:
City:
State/Province:
Zip Code:
Country (Other than USA):
Company Name:
*Email Address:
*Telephone: Area Code
Design Information
*Color Schemes Preferred:
List the colors of preference you wish to see incorporated on your web site. They can always be altered after selection.
    
*Logo Title:
 Usually Company Name
*Your Company's Industry:

 This helps us select the proper photos to establish your site's theme.
Slogan:
Additional Design Comments:
Content Information
Cut & Paste your content for the pages here. If you have your site content organized in a Word document skip this section and email it to us.
This is actually preferred for better formatting.
Home Page Content:
 Cut & Paste your content for the home page here.
Page Title #2:
 Ex: Products, Services, Contact Us

Cut & Paste text below
Page Title #3:
 Ex: Products, Services, Contact Us

Cut & Paste text below
Page Title #4:
 Ex: Products, Services, Contact Us

Cut & Paste text below
Page Title #5:
 Ex: Products, Services, Contact Us

Cut & Paste text below

Scrolling News Text:
Website Status
*Do you currently have a website or a registered domain name: Yes No
If yes, enter website address:
Ex: www.mysite.com
If no and would like us to register your domain name enter it here:
Ex: www.mysite.com
*Would you like us to host your site:
Hosting Fee: $9.95 per month
 Yes No
If referred to our program, please enter referral code here:

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