A Year of Web Presence, for LESS than the cost of many one-time newspaper ads! Need more information before you complete this form? Click here, for answers to your questions!
Your Name You Business Name Your Email Address Your Contact Phone Number The following information will appear on your Web Page. Leave blank if you do not want that information to appear on your site. Your Name Business Name Business Phone Number Toll Free Phone Number Fax Number Cell Phone Number Business Location Address Business Mailing Address Type of Business Text for Website (such as a description of your business and service) is Included in the text box below Will be emailed to you
The following information will appear on your Web Page. Leave blank if you do not want that information to appear on your site.
Your Name
Business Name
Business Phone Number
Toll Free Phone Number
Fax Number
Cell Phone Number
Business Location Address
Business Mailing Address
Type of Business
Text for Website
We have a business logo for this website. YES NO
We will EMAIL the logo to you. We will US Mail the logo to you, after you send us an address.
We have photographs or graphics for this website. YES NO
We will EMAIL the photos and graphics to you. We will US Mail the photos and graphics to you, after you send us an address.
Please find us photographs for our web page. I understand that the cost will be $5 per image, and I will approve the images before they are purchased for the site. YES NO
I would like a form placed on my page, with the results sent to my email address. YES Send to this email address: NO
I will email you the questions for my form. These are the questions for my form:
I would like to see my web page use the following colors:
Whatever you do, I do not want my web page to be the following colors:
If this business has another Website or Blog that you want linked from this website, include each URL, with the text to appear on the webpage. For example: great-page.com, Great Page Websites. ("great-page.com" is the URL, and "Great Page Websites" is the text to appear.)
If you want to include links to other websites on your page, include each URL, with the text to appear on the webpage. (Example in the above question.)
I understand that once the I approve the website, I will make a full payment within one week.
Questions or Comments