1. Name of Company or Title of Webpage. ____________________________________________________________________________________________________________________________________
2. Street or P.O. Box Address, e-mail address and phone number - Also state if you'd like these to be included on Website.________________________________________________________________________________________________________________________________________
3. Information to be listed on webpage.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. Please explain what service your company offers for sale to its customers_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. Preferred background color___________________________________________________________________
5. Do you prefer bright or subtle colors?__________________________________________________________________
6. Would you like music on your website?________________________________________________________________
7. Do you have any photographs of your business, yourself or your family you'd like on your webpage? ________If so, please include these with application. They will be returned.
8. Any other comments you'd like to help customize your website further._________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________
You can mail the application in e-mail to tgoebel@piasanet.com or send it directly to my address:TMG Website Productions
740 Delhi Farms Road
Jerseyville, IL 62052-3407
618-885-5704
Theresa M. Goebel
