Name:
Email:
Personal
Or
Buisness
Name of Site
Preffered address Choice 1
Preffered address Choice 2
Preffered address Choice 3
Additional Pages (thier names) (seperated by commas)
Text in Main Page
Text in Addtional Page 1
Text in Addtional Page 2
Text in Addtional Page 3
Text in Addtional Page 4
Text in Addtional Page 5
Links (seperated by commas)
Background Color
White
Black
Red
Blue
Green
Yellow
Description of Website, Limit 300 words
Comments about Design
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