 |
| Instructions |
| Please fill this form out and print it, then mail it to |
| 1506 Still Meadow Cove, Charlottesville, Va 22901 U.S.A, |
| or e-mail it to us by copy and pasting it. |
| If you like our web format, then fill out this form following the instructions below, and we |
| can make you a webpage with anything you like on it for a really cheap price of $20.99. |
| Remember, you have to be 18 years or older to apply, and you have to have a checking |
| account. You will be notified my e-mail when your registration has been approved. |
| After you have been notified please send a check of $20.99 to the address provided in the |
| instructions below. |
| Your website will be constructed in a week with all you want on it |
| First Name |
| Last Name |
| Home Phone # |
| Email Address |
| Address 1 |
| Address 2 |
| City |
| State |
| ZIP Code |
| Date of Birth |
| Year |
| e.g. 1975 |
| Name of site |
| Title |
| If there are any pictures, please e-mail us at [email protected] |
| By filling out this form I am registering for a $20.99 website to be made for me by the end of the week, or my money will be refunded |
| Please send your $20.99 payment as soon as possible. |
| after your registration has been approved |
| Thank You for your interest in subscribing with us. |
| Please Print |
|
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| Check here if you would like a domain name ADDITIONAL $3.00 |
| You can also register for a domain name which is an additional $3.00. |
| If you would like one please check the box below. |
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