Web Site Designer Agreement

Web Site Designer Agreement!
 

Web Site Agreement

Please fill out this short web site agreement and click the "Submit" button.

Once we receive it, we will contact you for additional information.

Remember, No Long-term Contract...  Cancel at Any Time...  Your Rates Will NEVER Increase!

Name: 

 

Company/Business Name: 

 

Address: 

 

City:       State:       ZIP: 

 

Tel:       Cell:       Fax: 

 

Email: 

 

Who Referred You (if any)? 

 

Web Site Plan: 

 

Domain Name Desired: 

 

Already Owned?   Yes    No

 

New Site or Redesign of Existing Site?  New Site   Redesign

 

Design Template Name and/or Number (if you don't know this yet, leave this blank:

 

Page Names Needed (if known): 

 

Would you like a free (check all that apply):

Contact Form  Blog   Stats Panel  Privacy Policy

Copyright Notice   Search Engine Submission (not optimization)  

 

Search Engine Optimization? (Note: If included in a plan, skip this step) 

 

Email/Webmail Accounts Needed:

 

Other Needs or Requests:

 

 

(Required)

 I Agree    I Do Not Agree

Your Initials:       *