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Web Builder Web Site Order Form

First Name:      

Last Name:  

Valid Email Address:  

Domain Name  

Click here to find the available domain name of your choice, then enter it in this box.  This is your web address.  Ex: yourbusiness.com

 

Already have a domain you want to use?  Enter it here.  

Desired Name and Password

Enter the User Name you would like.  This will be used to login to your website and e-mail account.

Re-enter User Name

Desired Password

Additional Information

How did you hear about our services? 

Were you referred by a current customer? If so, please enter the customer's name or domain name so we can give him or her a free month of service as a thank you.

Agreements

  By checking this box, I acknowledge that I have read the Acceptable Use Policy and Terms of Service and I agree with all statements, terms and conditions listed there.   

Use of any aspect of WebsiteforMe.com's services constitutes agreement and acceptance of the Acceptable Use Policy and Terms of Service.

 
WebsiteforMe.com is a division of KGI Enterprises.
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