Website Design Application

April 16th, 2009 Comments off



Please fill out the form below and then pay the deposit below. Upon receipt of the deposit, we will contact you with further instructions for the next step in the creation of your Professional Website.

monolith




1. Your Website's Name and Domain Name (required):




2. Your Name and Phone # (required):




3. Your Email (required):




4. Address(required):




5. What is the main purpose and objective of your website?:






6. List the categories you would like you site divided into.


(Example: Home, About Us, Products, Shopping Cart, Blog, Upcoming Events, Contact Us):






7. List some of the pages you would like you site to have,



Ex: product page, photo gallery page, etc.
(can be added to or subtracted from later):






8 Have you already registered a domain name?  Yes No




9. If yes, give the login information: login link/location, username and password.

Ex:

http://www.godaddy.com
Login id / username: 236723662
Pass: wuiu48de

If no, leave blank:




10. Please give as detailed a description of the website you desire:




11. Terms & Conditions. Please go Web Site Design Terms & Conditions. You must agree to the terms and conditions to submit the application.


I agree:




Pay Deposit Below