Family - Individual Website Input Form

my.wwwsite.info has accepted your application for a website.

Now for a few more simple steps.

  1. Enter the information below that you want to appear on your website. We will use this information to design your website.

  2. Make credit card payment.  Use 'Back' button to return to form.

  3. Print a copy for your files. (You can print this page and/or print the summary after it is submitted.)

  4. Click 'Send Email'

  5. After your form sent verification appears, click your browser 'Back" button if you note any changes you need to make..


Please enter information below.

Subject of Form:                             

Business/Organization/Club Name:

Name of Sender (Required):           
Email Address (Required):              
Street Address:                                
City, State:                                       
Zip Code:                                          
Phone Number:                                


 Please Check Applicable Boxes.

Individual Website       Family Website

I have read, understood, and agree to the Terms and Conditions & Privacy Policy.

A photo on website is desired and will be sent by email to services@wwwsite.info .         

Payment selected:      $35 per year (Website with my.wwwsite.info banner ad)

                                     $50 per year (Website without my.wwwsite.info banner ad)

 

Please list the name, mail address, phone number, and email address for the people you want on your 'Address Book' page. (up to 15 entries)

 

 

Please list names, month/day for your 'Anniversaries' page. (up to 15 entries)

 

Please list names, month/day for your 'Birthdays' page. (up to 15 entries)

 

Please list names and Internet address for your 'Favorite Links' page. (up to 15 entries)

 

Please enter any other comments or information about website.


Payment is by credit card only:

For your protection, our protection, privacy, security, liability, and cost we do not directly accept credit cards. Payment is made by credit card through PayPal.

     (NOTE: You can pay by credit card without signing up for PayPal membership.)

Upon your final approval of the website, you will be billed by a PayPal invoice sent to your email address. Upon receiving payment, your website will be published on the Internet.

Your order may be canceled anytime prior to final publishing.

Our goal is for your website to be in operation within 1 week after this form is received.

NOTE: You can have your website removed at any time.

             Your annual renewal date will be the date your website becomes operational.


Click button below to transmit form.
           

The Home Page URL for this site is http://my.wwwsite.info .