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  CONTACT INFORMATION

  Contact Name:    Company Name:   
  Email:    Address:   
  City:    State:   
  Postal Code:    Phone:   
 


 
  WEBSITE INFORMATION

  Do you already have a Website? 

 
  If "Yes" Address of the Website: 

 
  If "No" List three Domain Name. The address of your future Website.
(check Domain availability):
Domain 1: 
Domain 2: 
Domain 3: 

 
  Hosting Services: (all the hosting services includ one Domain requistration)
Express (25 emails): 
Extreme (100 emails): 
Ultimate (200 emails): 
Monthly Plan 
By choosing the Yearly Plan you will save 5% discount:  Yearly Plan 
 
 


 
  WEBSITE FEATURES
     
 
LOGO:
Already have a Logo to use on Site 
Need a Logo 
Don't need a Logo 
 
 


HEADER:
Static    Flash 




NAVIGATION BAR:

Horizontal    Vertical 

List of buttons for the Navigation bar( minimum 4)  1: 
2: 
3: 
4: 
5: 
6: 




BUTTON:

Other buttons that can be found on your site.   1:   Static Animation
2:   Static Animation
3:   Static Animation
4:   Static Animation
5:   Static Animation
6:   Static Animation

Buttons (links) to other websites.  1:   Static Animation
2:   Static Animation
3:   Static Animation
4:   Static Animation
5:   Static Animation
6:   Static Animation




BANNER:

Static    Qty 
Flash    Qty 



EMAIL FORM:

Online Application Form 
Contact Us Form 
Survey Form 



ICON:

With Link    Qty 
Without Link    Qty 



PICTURE:

With Link    Qty 
Without Link    Qty 
Background    Qty 



TEXT:

Text with Link    Qty 




VIDEO:

Video    Qty 



WEB PHOTO GALLERY:

10 Photos    Qty 
25 Photos    Qty 
50 Photos    Qty 



WEB SLIDESHOW:

10 Photos    Qty 
25 Photos    Qty 
50 Photos    Qty 



WEB CALENDAR:

Web Calendar    Qty 



WEB PAGE COUNTER:

Home Page 
All Page 



WEBSITE SEARCH ENGINE SUBMISSION (over 800000 search engines worldwide):

Monthly Plan 
By choosing the Yearly Plan you will save 5% discount:  Yearly Plan  (12 month submission) 


Please enter the describtion of your business.
(Brief description of your Website. Be sure to include your most important keywords.)  



Keywords (Keyword Phrases for indexing).
(Up to 25 keywords that best describe your site, separated with comma (,))  
 
 


        
 
 
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