Your Details:
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
Town
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Postal Code
Phone Number
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E-mail
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example@example.com
How did you hear about us?
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Will you be able to supply us typed text and up to ten photos to use in your web site?:
Have you seen any other web sites you like the look of? If so, please put www name here so we can see what you are thinking.
Would you be willing to recommend us?
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Are you happy to pay the £00.15p per day hosting fee? Without this we cannot share the costs and charge you nothing for design and setup. We ask for this fee paid after you approve your web site yearly, and can be cancelled at any time by you.
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Please enter Yes or No.
Please give reference if possible of any two people whom you feel may like a free website:
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Address
Contact Number
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2
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