Website Information Form
Contact Information
Select Website Type Church Radio Station Artist Non-Profit Other *
How Did You Find Us? *
Ministry Name *
Personal Contact Name *
Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
Website Information
Current Website URL (If Any)
Do You Have Content On Your Old Site You Want Transfered To The New Site? Yes No
If Yes, Specify Pages Here
Please List Main Categories & Sub-Categories Here
Prefered Colors (List 2 or 3 colors) *
List your Worship Times or Operation Hours
Upload Your Logo Here (Transparency files like .png and .eps are best)
Upload Home Page Image(s) Here
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Please Enter Any Special Instructions or Details Here
Would You Like To Make Your Deposit Payment Now? If Yes, after you submit this form, please visit the payment page to pay the $250 deposit or 50% of the approved quote. Yes No *
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If Yes, Click on the Paypal Button (Be sure to make your payment and then finish submitting this information form)
