Website Purchase Form


Please fill out this form to purchase a website from Internet Marketing.

Thank you for hiring Internet Marketing for your web design project!

What is your email address? (required)

What email address do you want displayed on your website?

What is the best phone number to reach you at? (required)

What phone number do you want displayed on your website?

What business address do you want displayed on your website?

What is your first and last name? (required)

What is your website URL (example: www.mydomainname.com), or What domain name would you like to have? (Check URL availability on godaddy.com.)

Do you already have hosting for your domain name? If so, please enter your FTP login info here, and or the login username and password for your hosting account. If you have hosting but don't have this info handy, finish filling out this form and you can provide the info later. It will be easier if we provide your hosting for you in most cases and your first year of hosting is free with a website purchase! (After that hosting is only $5 per month).

What is your business category? (Example: dentist, restaurant, etc. )

Do you have a slogan or motto for your business? Do you have a Mission Statement? Please enter your slogan, motto and/or mission statement here.

What pages would you like on your website? Please briefly describe how you want your website to be and the pages that you want on it. Some common pages are Home, Welcome, Map, About Us, Our Services, Our Reviews, Contact Us!, Reservation Calendar (like for a rental house), Checkout, Sales Form, Free Estimate Form, etc. Some common website features include pictures, videos (youtube), music, e-commerce shopping cart, etc.

What text do you want on each page of your website? Please indicate here any specific promotional text that you would like to have on your website. If you don't know everything that you want to say right now, that is ok. You can email robbin@internetmarketing4me.com any additional text that you want on your website later on. You will have access to edit the text on your website at any point after it is complete.

Who are some of your competitors? Which competitor websites do you like the best? Are there any websites that you want your site to be similar to? Are there any specific website features that you would like to have?

Do you have any pictures or promotional items that you may want on the website? If so, please email them to robbin@internetmarketing4me.com

Do you have any products that you want to sell on the website? If so, please email your individual product descriptions, images and all relevant information about each product to robbin@internetmarketing4me.com. Each product will have it's own page on the website, and will count toward your page total for website pricing. If you have hundreds or thousands of items that you want to sell online, finish filling out this form and contact robbin@internetmarketing4me.com for a special price bulk website quote.

Anything else you would like to communicate to the technical delivery team, or any other special requests you would like to make while placing your website order?

Were you assisted with this purchase by one of our Internet Advisors? Please enter the name of the Internet Marketing Advisor that assisted you here:

What is your business name?

What is your billing address? (required)

What is your billing zip code? (required)

What is your mailing address? (if different)

What is your credit card number? (required)

What is your credit card expiration date? (required)

What is your credit card verification code? (required)

The amount that will be processed on your credit card today is equal to half of your website fee. Your total website fee is calculated at $100 per page for the first 10 pages, then $90 a page for the next $10 pages, and continues to drop $10 in price every additional 10 pages, until it gets to $50 a page, and is then $50 a page for all additional pages. If it is unclear how many pages you want on your website, then we will contact you to confirm the website price before processing your credit card payment.
Thank you very much for your business today!

Thank you for your order.