Basic Online Website Package

Registration For: Basic Online Website Package
Includes: 2 x web pages
Price: Aud $250.00( NB:Hosting and Domain Name not included extra charges will apply if these are required )

	Basic Online Website Package
	Contact Details
	Business Name:
	Contact Name:
	E-mail Address:
	Phone Number :
	Type of Business:
	Business Address:
	City
	State
	Post Code
	Country
	What type of Website are you looking for?
	NUMBER/TYPE OF WEB PAGES
	Web Page 1 - Home/Contact Page Web Page 2 - Product Page	YES ( please tick ) YES ( please tick )
	I agree to our nominated sum of Aud $250.00 for this 'Basic Online' Website Package	YES ( please tick )
	In order to aid our design process: Please supply 3 websites for Potential Style Design/Structure/Colours you would like on your website. Type in the URL /web address in this text box supplied	http://www.website.com ( type link above )
	Thank you for filling out this Registration for the Basic Online Website Package, we will get back to you to discuss your Webpage content and design.