Site Grill

The Site Grill

1. Signup

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2. Confirm

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3. Submit

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4. Payment

SIGN UP - Step 1 of 4

Please fill out this form so that I have information about you and the website you want.

This form does not automatically process your order, nor does it automatically start your website. Rather, it sends the information to me. I review the items, possibly contact you with questions or clarifications, and then start the website (after payment is received).

If you do not want to submit any information online, please download the PDF form and mail it to the address in the form.
Note: the form requires Adobe Acrobat for viewing.

Billing Information

Please enter your billing information.

This billing information is used for billing purposes only. Contact information to be placed on the website is entered at a separate step. This billing information will not be sold, published, or otherwise divulged (except by court order or other legal requirement).

* = this field is required

** = at least one of these fields is required

*First Name:
*Last Name:
Company:
*Address:
Address 2:
*City:
*State:
*ZIP:
**Phone:
**Email:

Information for the Website

Please enter as much of the following as possible:

Click here to copy the billing information to the contact information field.
contact information to be placed on the website
slogan or motto
brochure text
any memberships
- trade organization
- authorized dealer
- chamber of commerce
- BBB
- etc.

Consider mailing (email or postal) these items:

business card
brochures / pamphlets
logo or colors
photos of shop or products

Contents of the Website

Please enter as much of the following as possible:

What, if any, style would you like for the website? You may describe it or reference another website as an example.
How many pages do you want in the website (includes main page)?
Please give any details or requests for the contents of the website. This may include what the pages are to be, if more than one is desired.

Website Names

Please list the domain names you would like. Please list at least three, in order of preference. This is in case your desired website name is already taken. You may use the domains .com, .biz, .net, or .org for your website.
To check if a domain is available, click on its checkmark.
If you have pop-up windows disabled, enable them for that link to work.
JavaScript also must be enabled.
1. www . .
2. www . .
3. www . .
4. www . .
5. www . .
Click here to indicate that you want me to obtain the first available domain name in your list.
Click here to indicate that you want me to obtain all the available domain names in your list.
Click here to indicate that you do not have a domain name in mind and want me to find an appropriate name for you.
If your domain name expectations are more complex than these instructions allow, please describe them here.

Email

Please list the email addresses, if any, you would like.
If you would like the email forwarded to an existing email address, please list that email after the new email.
If you would not like the email forwarded to an existing email address, then leave the Existing Email field blank.

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Agreement

Please indicate that you have read the terms and the rates of the website services and you agree with them.

I agree with these terms and rates. I disagree with some of these terms and rates and would like to negotiate. I disagree with these terms and rates.

Please click on the Confirm button to review the information you have entered. This step does not place an order - it allows you to confirm the information first.