Emerald Website Request...

Step 2 of 3.

  This is the Emerald Website Request form.

This is our standard level website package.

It will provide you with your own internet address and a basic three-page website including contact information and your company logo.

Please complete as many details as you can - the more information you provide, the better your website will be. Don't worry too much about your spelling/grammar - our proof reader majored in English.

If you need an explanation of what you are being asked for, rest your cursor on the

Remember, you are under no obligation at this stage - until you are happy, we will not ask for payment.

1	Company/firm name:
2	Address (including postcode):
3	Telephone:
4	Mobile:
5	Fax:
6	email:
7	Write a brief paragraph on what your company does:
8	Write a brief description of what customers your business serves - i.e. trade/retail etc:
9	Any other comments you want to record on the website:
10	Any preferences regarding colours/layout i.e. if your publications, leaflets or vehicles follow a particular colour scheme, then you should mention it here:
11	Do you have your company logo in a file on your computer? If yes, please attach it here, but only include jpg files please  (don't worry if you don't have it now - we'll arrange it later):
12	Would you prefer us to contact you by phone or email?	preferred contact Telephone email
13	Security code :
	That's all we need for now!
	Press the button to send us the form

We will write to your email address in a few days time when the first draft of the website will be available for you to review. If you want to proceed at that stage, we will discuss ordering your website address and payment terms.