New Service Questionnaire

This form is used to collect basic information that will be needed to set up and configure your website.
It is the same form that our Support Team uses to collect information from you to set up your site.
Your completion of this form allows us to preconfigure your site and ask you the correct questions to get your site going quickly.
Once the form is complete, please submit it and your Support Representative to reach out to you for any additional information.

If you are not comfortable completing this form, please call us at (404) 425-9806 and a Support Rep will assist you.

Your Name

Your Email

Phone Number

About You/Business?

Tell potential customers about you and/or your business

Products/Services?

Tell Customers about your product or service in general

List Product(s) or Services w/Fees

List Your Product(s) or Services w/Fees (Be Specific)

Paypal Email Address

To accept payments thru Paypal, you will need a Free Paypal Business Account

Do you currently have a Domain Name?

Your domain name is how customers find you on the web!
Example: google.com
If YES: List it below

What is your Domain Name?

Would you like for us to secure a Domain Name for you?

Yes - Get my Domain Name for me (additional fee)
No - I will get my Domain Name/I already have a Domain Name

You need a domain name to take full advantage of this service.
If you don't have a domain, we can get it for you, or you can get it and send us the info.

Choose a Domain Extention

.com - (Most Popular)
.net - typically used for networks
.org - usually used for Non Profit Organizations
.edu - for Educational Organizations (schools, colleges, etc)
.biz - Business
.us - United States
Other - Please list in ADDITIONAL NOTES

What would you like your Domain Name to be?

Tell us what you would like for your domain name to be
List at least 5 choices in order of preference
(We will attempt to secure the name that you would like, in order of preference)

Would You Like Email?

Yes - I would like Domain Email
No - I decline Domain Email

You can have up to 3 Complimentary email addresses.
Additional email addresses are available.

Display Location?

Do you want your location displayed on your site?
If yes, add your address on next question.

Location?

ADDITIONAL NOTES*

*Use this area for anything that you want us to know or any questions at this point.

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