
Great web designs at an affordable price.
In this day and age, if you have a business, small or large, farm, ranch, store front, etc. how can you afford not
to have a website?
In order to set up your account the following information is needed: Today’s Date ______________
Name ___________________________________ Company Name ____________________________
Birth date of account Owner ____/___/___ Domain Name_____________________________________
Address _____________________________City___________________State______ Zip___________
Phone_________________________ Email address _______________________________________
Do you currently have a Yahoo email or ID? ____If yes what is it _______________________________
Choice of colors for Website ___________________________ Theme _________________________
Pages: 1.) Home 2.) __________ 3.) ___________ 4.)___________ 5.) ____________
Additional pages or information _________________________________________________________
__________________________________________________________________________________
Photos, information and contract can be submitted via email or put on disc and mailed. If you are emailing a
video it will need to sent in a zip file. (All information and pictures will be returned)
Email information to: rockinpaints@yahoo.com
Mail information to: RGR Services 4745 Zenobia Rd., Wakeman, Ohio 44889
Questions or concerns: 419-929-3919
(½ down is required at the time of signing, balance due upon completion of website)
Method of payment: Cash___ Check ___ Credit Card_____________ Other____________________
Yahoo Hosting Fee: $11.95 per month. This fee will need to be paid by automatic withdrawal from a credit
card monthly. Card that you will be using __________(do not enter the credit card number, just the type of card
you will be using)
I have read and accept the terms and conditions on the previous page _________________________________________
___(www.classicillusions.net)__________________________________________________
(Office use only) Type of web site _________________ Number of pages _____________
Picture editing: Yes___ No___ Video ____ Forms ____ Estimated Cost ______________ Additional information: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
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