PagePilot New Site Startup Form

PagePilot Website Startup Form
Company Name:
If not the contact person already provided for your account, who will be in charge of changes being made to your website?
Shortened version of company name (if used):
Company Slogan:
Year Founded:
Number of Employees:
Name of Maintenance Program:
Will you submit your website for brand co-op?

YesNo
Co-op Brand:
Primary brands you sell (logos to appear on website);
Regular Office Hours:
Service Hours:

Same as Office Hours above24/7 Emergency ServiceDays or evenings by appointment
Related Services or Specialties:

GeneratorsSolarGeothermalStoves & FireplacesDrain - SewerZoningAir Balancing / Energy Analysis
Any other service specialties not listed above:
Payment options accepted:

MasterCardVisaAmerican ExpressDiscoverCheckDebit (ACH)Cash
Financing options to appear on website:
Any other concerns or input regarding your website?
Should be Empty:

PagePilot Website Startup Form