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Request Received

You selected Option #2: A One-Time Design Fee of $499

If you're in the process of selecting a domain name, check for its availability below. If you already have an existing web site or a domain name registered, continue with the registration form.
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Complete the form below to sign up for your web site package.
* = Required Field

 
* First Name:
* Last Name:
* Mailing Address:
* City:
* State/Provence:
* Zip Code:
* Country (Other than USA):
* Company Name:
* Email Address:
* Telephone: ( )
* Design Scheme Desired:
* Click here to see our design gallery.
* Color Schemes Preferred:
* List the colors of preference you wish
* to see incorporated on your web site. They
* can always be altered after selection.
Keep colors as is on selected layout
* 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:
 
* Home Page Content:
* Cut & Paste your content for the home page below. 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.
Page Title #2:
Ex: Products, Services, Contact Us

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Page Title #3:
Ex: Products, Services, Contact Us

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Page Title #4:
Ex: Products, Services, Contact Us

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Page Title #5:
Ex: Products, Services, Contact Us

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Page Title #6:
Ex: Products, Services, Contact Us

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Page Title #7:
Ex: Products, Services, Contact Us

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Page Title #8:
Ex: Products, Services, Contact Us

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Scrolling News Text:
 
* Do you currently have a web site
* or a registered domain name:		 Yes No
* If yes, enter web site 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
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* If referred to our program, please
* enter referral code here:
 
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