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Website Order Form

Preliminaries

Welcome to the first step in helping us bring your vision to fruition.

If you are interested in expanding the vision of your business by obtaining a website, using internet and social network solutions, or if your site needs a makeover, we'd love to help.

To be able to service you effectively, we will need to gather important details and information about you and your business, organization, or ministry. Simply complete the form below and submit it to us so we can begin the process of planning for your visionary project. Once we receive your Website Request Form Preliminaries, we will follow up and connect with you via phone or email.

Website Information

1) About You

First Name

Last Name

Phone

Retype Email

Retype Phone

Street Address

City

Region/State/Province

Postal / Zip code

Country

2) Website Information

2a) Business Name

2b) Position

2c) Choose Website Package

2d) Choose your Website Package: *

Website Package - BASIC $599

Website Package - BUSINESS $899

Website Package - PRO $1299

Website Package - ELITE $1899

Website Package - PLATINUM (Contact Us)

2e) What TYPE of business is your company? (Check all that apply)

BLOG

CHURCH

BUSINESS

NON-PROFIT ORGANIZATION

PERSONAL WEBSITE

PODCAST

RELIGIOUS ORGANIZATION

RADIO

TV SHOW/PRODUCTION

OTHER

2f) Please DESCRIBE your business and the type of service(s) you will provide.

2g) Will you need our monthly website maintenance? ($35.00 Monthly Subscription Fee or $75.00 per update requests) *

YES

2h) Please select your Website Monthly Hosting Plan. *

$79.50/mo +tax (annually) $159/+tax (monthly)

$16/mo +tax (annually) $32/+tax (monthly)

$13.50/mo +tax (annually) $27/+tax (monthly)

$16/mo +tax

2i) Will you need the E-Commerce (webstore) to sell products or services? *

Yes

2j) How soon are you looking to have your website created? *

1 month

2 months

3 months

4+ months

2k) If you have specific color preferences, please indicate them below. If you'd like to leave it to iMagination Station to create something for you, type in BIRTH THE GLITTER in the box and we'll get busy. No worries. If you are not happy with the color scheme results we come up with, we will go back to shake the glitter box.

3) Domain Name

3a) Do you have a domain name? *

Yes - I already have a domain name

No - I don't have a domain name and would like to obtain one

3b) If you need a Domain Name, check which one applies for your business. Domain names are sold separately. Domain names are $15.00 for us to obtain a domain name for you. All domain names renew annually from date of purchase at registrar host price. *

.com

.org

.net

.biz

.info

OTHER (please SPECIFY in the box below)

NONE

3c) What domain name would like us to use to obtain your website? Please type it in the box below. If no domain name is needed at this time, type NONE in the box below.

3d) In the event that your first choice domain name you typed in the 3c box is unavailable, when we do the search, please include two or more domain names in preferrential order. Label them as follow: Choice 1:, Choice 2:, Choice 3:. Do not forget to include if it is .com, .org, .net, etc. If NO DOMAIN is needed, please type NONE in the box.

4) Email

4a) Will you need a professional email to match your domain name? *

Yes

4b) If NO, would you like us to add an email? Emails are purchased at $6.99 per month. *

Yes, I need an email to match my domain..

No, I already have an email I would like to use.

If you answered YES to 4b, please type in the email address as you would like it to appear AND include the domain name you want us to use. If NO, type NONE.

5) Logo

5a) Does your business or ministry have a logo? *

Yes

5b) If NO, would you like us to design and create a logo for your business/ministry? *

Yes, I need a logo.

No, not at this time.

5c) Use the button below to upload your business/ministry logo.

Upload Logo File

Upload supported file (Max 15MB)

6) Email

6) Do you need a professional email to match the domain name of your website/business? (Email(s) sold separately at a low monthly price) *

Yes, I need a professional email

No, not at this time

7) Social Media

Please provide your Social Media links i.e. Facebook, Instagram, Twitter, YouTube, etc. This helps us learn more about your business, ministry, or organization.

Facebook

Instagram

Twitter

YouTube

Other URL

8) Message Us:

Message (Optional): Use this space to message us with any other information you'd like us to know or consider.

9) Disclosure Notice

This Website Order Preliminary Form is not a binding contract but an electronic application used for collecting required client information needed to begin the process for your website development services. There are other feature service apps that can be integrated into your website for low monthly prices. Depending on the type of business, we will let you know what's available to you.

10) Today's Date

Today's Date

I have read, understand, and agree to the Refund Policy.View Refund Policy

Thanks for submitting!

Your Preliminary Website Order Form has been successfully submitted. We will review your application and follow up with you very soon. In the meanwhile, continue to enjoy the site.