Form

Your Personal Information
First Name*
Last Name
E-mail*
Phone
Street Address
City
State
Zip Code
Your Business Information
Business Name
Business Phone Number
Additional Business Phone Number
Business Fax Number
Field or Industry
Approximate Company Size
Main Business Colors
Upload Your Logo
Upload any advertising you have which you like, we will try to reproduce the style as much as possible
Hours of Operation
Days Open Per Week
Physical Address
Domain name (website address) you own
If you don't own a website address, preferred website address for your company
If you don't own a website address, preferred website address for your company. Please list three.
Select Website Package
$1499 - Starter

Up to 10 Pages of Content

Custom Website Design

10GB Storage

10GB Monthly Bandwidth

4-6 Week Turn Around Time

$100 Free Credit Towards Extras

$2999 - Standard

Up to 20 Pages of Content

Custom Website Design

20GB Storage

Unlimited Bandwidth

6-8 Week Turn Around Time

$200 Free Credit Towards Extras

$5999 - Premium

Up to 100 Custom Designed Pages

Custom Website Design

100GB Storage

Unlimited Bandwidth

$300 Free Credit Towards Extras
Choose Your Package*

Starter ($1499 Setup plus $150 Monthly) Standard ($2999 Setup plus $300 Monthly) Premium ($5999 Setup plus $600 Monthly)
Extras
Choose Your Extras
Ad Server

($400) Manage your advertising ads / banner ads on your website
Add Extra Pages

($50 per page plus $5 per page monthly) Need more pages than your package offers?
Extra Page Count
Blog Page

($200) Need to get a message out fast? how about a blog?
Calendar

($300) Add events, Multi Calendar Display, Months, Days, Weeks
Contact Form

($150) Almost any web form really
Document Library

($300) Allows you to search, sort, and browse for files
Extra Storage

($50/GB plus $5/GB monthly) Need more space?
Extra GB Needed
Google Map

($25) Allows you to add your location to your site via Google Maps
Image Slide Show

($150) Includes integration into your content
Instant Messenger

($300) Allows you to chat with your visitors in real time
Interactive Forum

($300) Allows a forum for your customers to interact with your staff.
Music Player

($150) Allows you to play music compilations on your website
Online Store

($400 for first 50 items $10 per additional item) Up to 50 products in an easy to use e-commerce shopping cart system
More Store Producs
Photo Gallery

($150) Add a place to display photos on your site
Reviews

($75) Allows visitors to review and vote page content
Testimonial Manager

($100) Show off your clients and customers testimonials
Video Player

($150) Embed Youtube videos into your site
Voting or Contest

($300) Set up a poll for visitors to vote on
Confirmation*

I have read through the entire form, and filled it out accurately to the best of my knowledge.
Should be Empty:

Your Personal Information

Your Business Information

Select Website Package

$1499 - Starter

$5999 - Premium

Extras

Choose Your Extras