Pre-School Registration Form

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

Town County

Postal Code Country

Phone Number *

E-mail *

example@example.com

How did you hear about us? *

Other

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?

Yes Maybe No

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. *

Please enter Yes or No.

Please give reference if possible of any two people whom you feel may like a free website:

Full Name

Address

Contact Number

1

2

Your Details: