General Information Form Please enable JavaScript in your browser to complete this form.Name *FirstLastCompany NamePlease provide a company name, if applicableType of BusinessStreet Address, City, Prov, Postal CodePhone #Email *Colour Scheme *Use existing coloursChange colour scheme to...Use the existing colour scheme (blues & greens) or advise which colours you would like to useWebsite Title *Please provide a Title sentence for your website with a maximum 10 words. This will be included in the background coding. Keywords *Please provide up to 10 keywords or keyword phrases relating to your business. This will go into the background coding as well. TaglineIf you have a company tagline, please provide it here. Domain & HostingIf you need a domain name registered, please provide three choices of what you would like here. (Eg. www.mywebsite.com or www.itsmysite.ca, etc)Your web design package includes one year of domain registration and one year of web hosting. After the first year, your domain will cost $25 per year ($35 for .ca domains) and $15 per month for web hosting to be paid annually. Preferred Email AddressYour website comes with a domain specific email address. (Eg. design@yourdomainname.ca) What would you like the prefix to be for your email address? (Eg. design@ )NavigationYour navigation can be centered around the logo at the top of the page, as it is in the template, or have the logo to the left and the navigation to the right.Keep Navigation centeredPut logo on the left & navigation on the rightSubmit Still Have Questions? Email Address Full Name Phone Number Message Send Message