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Website Application Form

CUSTOMER-CONTACT INFO

Name of your website

*note: if name is already taken, we can discuss a different name later*

Explain the purpose of your website and what you plan to do with it

How Many Pages Will Your Website Have ?

A
B

Will you require a landing page

*This is the opening page before visitors enter your main site*

If you selected yes for a landing page explain what you want to appear on it

Upload images and other files you need for your website ; ex: logo

Deposit Payment Required

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