Your Personal Information
First Name
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Last Name
E-mail
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Phone
Street Address
City
State
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Zip Code
Your Business Information
Business Name
Business Phone Number
Additional Business Phone Number
Business Fax Number
Field or Industry
Approximate Company Size
Main Business Colors
Upload Your Logo
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Upload any advertising you have which you like, we will try to reproduce the style as much as possible
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Hours of Operation
Days Open Per Week
Physical Address
Domain name (website address) you own
If you don't own a website address, preferred website address for your company
If you don't own a website address, preferred website address for your company. Please list three.
Select Website Package
$1499 - Starter
Up to 10 Pages of Content
Custom Website Design
10GB Storage
10GB Monthly Bandwidth
4-6 Week Turn Around Time
$100 Free Credit Towards Extras
$2999 - Standard
Up to 20 Pages of Content
Custom Website Design
20GB Storage
Unlimited Bandwidth
6-8 Week Turn Around Time
$200 Free Credit Towards Extras
$5999 - Premium
Up to 100 Custom Designed Pages
Custom Website Design
100GB Storage
Unlimited Bandwidth
$300 Free Credit Towards Extras
Choose Your Package
*
Starter ($1499 Setup plus $150 Monthly)
Standard ($2999 Setup plus $300 Monthly)
Premium ($5999 Setup plus $600 Monthly)
Extras
Choose Your Extras
Ad Server
($400) Manage your advertising ads / banner ads on your website
Add Extra Pages
($50 per page plus $5 per page monthly) Need more pages than your package offers?
Extra Page Count
Please Select
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Blog Page
($200) Need to get a message out fast? how about a blog?
Calendar
($300) Add events, Multi Calendar Display, Months, Days, Weeks
Contact Form
($150) Almost any web form really
Document Library
($300) Allows you to search, sort, and browse for files
Extra Storage
($50/GB plus $5/GB monthly) Need more space?
Extra GB Needed
Please Select
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Google Map
($25) Allows you to add your location to your site via Google Maps
Image Slide Show
($150) Includes integration into your content
Instant Messenger
($300) Allows you to chat with your visitors in real time
Interactive Forum
($300) Allows a forum for your customers to interact with your staff.
Music Player
($150) Allows you to play music compilations on your website
Online Store
($400 for first 50 items $10 per additional item) Up to 50 products in an easy to use e-commerce shopping cart system
More Store Producs
Please Select
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Photo Gallery
($150) Add a place to display photos on your site
Reviews
($75) Allows visitors to review and vote page content
Testimonial Manager
($100) Show off your clients and customers testimonials
Video Player
($150) Embed Youtube videos into your site
Voting or Contest
($300) Set up a poll for visitors to vote on
Confirmation
*
I have read through the entire form, and filled it out accurately to the best of my knowledge.
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