Website Application Form

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CUSTOM WEBSITE APPLICATION FORM

Please fill in the required fields below. If you are not certain about what detail is required for a specific field, you may leave the field blank. You may also change your requirements later should you have a change of mind before confirming your order.

Your Details

First name

Surname

Address (Optional)

Email Address

Contact Number

Business Details (Optional)

Enter your Business details if you would like to display this information on your website contact page or other pages

Business Name

Business Address

Business Contact Number

Business contact number

Domain Option

Select Domain Option

Enter the Domain Name for Registration,Transfer or Hosting

Enter the Domain name that you want to Register, transfer to us, or host with us

Select your Top Level Domain (TLD)

Select your preferred choice of TLD from the above list

If 'other' was selected above, please specify

Specify the domain TLD if 'other' was selected in the above field

Website Details

Select your Preferred Website Template

You can either select the sitebuilder template for your website which has a nice selection of easy-to-customize themes to choose from, or you can select a Wordpress template which is portable across hosting providers and also has a much larger selection of themes to choose from. A Wordpress installation includes a database which allows for more control over your sites content, and also gives your website access to thousands of add-on features developed by the wordpress community worldwide.

Select your Preferred Theme

Select your preferred theme from our list of themes. If you opt for a WordPress theme, please also enter your Preferred Wordpress Theme in the below field.

Enter your Preferred Wordpress Theme Name (If Applicable)

If you have chosen a Wordpress template, then enter your required Wordpress Theme Name or leave it blank and we will assist you in selecting a suitable theme. You can choose from hundreds of free Wordpress themes from the wordpress.com website. You can also purchase a Wordpress Theme directly from the Wordpress.com website and have us Install it for you (Additional costs could apply).

Website Content Required

Enter your preferred Website name

The name of your website that will normally appear on your home page.

Enter a paragraph or two that will appear on your "ABOUT US" page (Optional)

List the Services that you will be offering on your Website with a short description of each (Optional)

Eg. 1. Web Design - We provide affordable Website design services etc.

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