Start-up Website Registration

	Start-up Website Registration
	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?

	DOMAIN NAMES	included with this package 1st year only
	PLEASE TYPE 3 X POTENTIAL DOMAIN NAMES eg arakhnewebdesign	Australian Domains .com.au .net.au These Domain Extensions Require ABN/ACN Number for registration Provide a Valid ABN/ACN org.au .id.au .asn.au New Zealand Domains .co.nz .net.nz Global Domains .com .net .org .info .biz
	HOSTING	included with this package 1st year only
	DESIGN CONCEPT
	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 )
	AGREED PRICE
	I agree to our nominated sum of Aud $699.00 for this 'Start-up ' Website Package	YES ( please tick )
	Thank you for filling out this Registration for the Business Website Package, we will get back to you to discuss your Webpage content and design.