WEB SITE ORDER FORM
Questions - Call toll free (1-866) SAV-SITE

Which of the following methods would you prefer to use in submitting web site content?

 

SUPPLY US WITH CONTENT FOR YOUR WEB SITE BY COMPLETING ALL FIELDS THAT APPLY TO YOUR BUSINESS IN THIS ORDER FORM.
Click the Submit button at the bottom of this page when ready to send.

Start by choosing a unique domain name for your web site

First Choice
Second Choice
Third Choice
www. .com
www. .com
www. .com
Letters numbers and hyphens only. If neither of your choices are available, we will notify you with a list of alternatives

 

After reviewing the sample web site (top left gold button on our home page) note the modules you would like to utilize in the development of your web site and check them below.

 
Main Menu
  
Sample 1
  
Sample 2
  
Sample 3
   
           
           


Name of business (required field)
Phone l
Phone 2

 

Address
 City
State
Zip

 

Name of Owner (required)
E-mail Address (required)
Referred by

 

 

Number of employees (names, job descriptions, positions etc.)

 

Business history or background
(family owned or operated? Serving the community since?)

 

Enter Your Office Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

 

Mission statement
(Describe your business ethics, values, principles, or objectives)

 

Slogans/Mottos

 

Specializing In

 

Special offers (including any free services)

 

Accredits
Licensed in or by
Authorized in or by
Certified by

 

 

List of services offered
List of products offered 
Price list

 

 

 

 

 

 

Indicate the Links or Resources you would like to have on your web site
> I would like my web site to link to news resources.

Type Web Sites to Link to Here
> I would like my web site to link to weather resources.
> I would like my web site to link to sports resources.
> I will specify the web sites I would like to link to in the adjacent box.

 

Additional comments, instructions or written content.

 

Which Operating System do you use?
Choose Internet connection

 

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Click the submit button one time only.  Processing the form will take a few seconds.