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| 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: Nellie Gisbrecht, 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)__________________________________________________ |
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| (Office use only) Type of web site _________________ Number of pages _____________ Picture editing: Yes___ No___ Video ____ Forms ____ Estimated Cost ______________ Additional information: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ |