EmailMe Form - Web Admin / Consultant Request

Name *

First Last

Email *

Business Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Web Site Move *

URL for web site information move

New Site Domain *

URL NEW PAGE DOMAIN

Do you currently own this Domain name? *

Yes

No

Scope of Work *

Please note submitting this form and payment acts as your signature on any legal contact.

Monthly Retainer and Consultation *

New Web Consult $25.00

Priority Customer $500 Monthly Retainer

Second Tier $300 Monthly Retainer

Third Tier $150 Monthly Retainer

All prices include Admin Priority customers 4 hour response time. 2nd =24hr; 3rd =48hr