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Basic Information:

First Name: Last Name: Company Name:

Address: Apt/Suite No.

City: State: Zip:

Phone:

Email:

Domain Setup:

Domains cost $15 per year.

First choice name: www. .com .net .org

Second choice name: www. .com .net .org

Third choice name: www. .com .net .org

Domain Features

Additional features (Check all that you would like to add)

SiteLock Protection ($25/year) Site Backup Pro ($40/year)

Security Features

Domain charges will appear on your first invoice then you will be billed once per year.

Hosting Features:

Would you like to add a MyMedia page for free? Yes No

Which hosting plan would you like? Basic ($10/month) Business ($12/month) Education ($12/month) Plus ($14/month) Unlimited ($16/month)

Would you like to add a SEO service? Yes! Add Jump Start ($10/month) Yes! Add Advanced ($25/month) Yes! Add Pro ($45/month) No, thanks

Would you like to add pay-per-click advertising? Yes No

If so, how much are you willing to spend per month?

Any other hosting features?

SSL Certificate ($15/month) Pro Hosting Package ($50/month)

Additional emails: None 1 2 3 4 5 6 7 8 9 10 (Extra emails cost $2 per month each)

First month hosting costs will be placed on your first invoice then billed monthly.

Design Features:

Would you like one of our pre-made templates or a custom template? Pre-Made ($150 one-time fee) Custom (Starts at $300)

If a pre-made template, which one? Aquatics BlueMesa Chamber of Commerce DotCom Eon Feuxjo Floral Niche Fruit Company Greenshades Horsepower Red Niche Solvista Sublime Trellian Vacation ZoombaBlue ZoombaBrown ZoombaOrange (Take another look at the templates)

Any other design features:

eCommerce User Registration Log In Capabilities Additional Forms Custom Logo Search Bar Flyers (Not Including Production Costs)
Business Cards (Not Including Production Costs) Newsletter Design Appointment Setter Design SEO Editing Content Editing/Adding

After filling out this form, I will respond with a quote for your design. Then, you will be billed one time for the design.

By clicking submit, you are not obligated to anything. You are simply requesting a quote for everything you need. If you have any questions, do not hesitat to contact us.