CYber SYtes, Inc. "Website Special" Order Form

Please fill in the form below or download and print this form and return to us by mail or fax.

Asterisk (*) Indicates a Required Field.

Billing Information

* Your Name:

* Your Email Address:

* Your Phone Number:

* Your Address:

Sales Representative:

What Domain Name Would You Like? (ex: www.yourwebsitenamehere.com)

* Preferred Domain Name:

2nd Choice:

3rd Choice:

* Select a Layout that You Like

Email

You may select up to five email addresses using your new domain name to be forwarded to existing email addresses (you@YourNewDomain.com forwarded to you@yourISP.com). For each, please specify the email address you'd like created, and the email address it should forward to:

Sample new email addresses:

joe@YourNewDomain.com, jane@YourNewDomain.com, sales@YourNewDomain.com, info@YourNewDomain.com

* From:
* To:
From:
To:
From:
To:
From:
To:
From:
To:

Information to display on your Website

* Company/Organization Name:

Contact Name/Title:

Mailing Address:

* E-mail Address:

* Phone Number:

Toll-Free Numbers:

Fax Number:

Office Hours:

Areas you service:

Any Other Contact Information?

Pages on Your Website

Please list the pages you would like on your website. Our website special includes up to five pages. (Individual page may include up to 300 words and four images (supplied by you).

Color Preferences

I have no preference

Are there any particular colors that you would like to incorporate into your website? (ex: Business colors) If so, what are they?

Logo

I have an existing graphic logo:

Use my domain name:

Use this text:

Search Engine Keyword Phrases

Use these keyword phrases on my site:

NOTE: keyword submission is required for SEO inclusion. For your site to rank high in the search engines, you must use your desired keyword phrases throughout the information on the site. Also, it's better to place a few keyword phrases on each page instead of all keyword phrases on all pages. If your site is regional, be sure to include the areas you'd like to rank for (for example, Panama City Beach, Destin, Florida panhandle, etc.).

* Terms of Service

I Accept the Terms of Service


» Click Here to View the Terms of Service