PERSONAL INFORMATION
NAME
ADDRESS
CITY/STATE/ZIP
YOUR TELEPHONE
BUSINESS INFORMATION
BUSINESS NAME
ADDRESS
CITY/STATE/ZIP
TELEPHONE
EMAIL
Do you have a DOMAIN NAME?
YES
NO
DOMAIN NAME
WEBSITE INFORMATION
PREFERRED COLOR
PAGE HEADINGS
Choose the ones you would
like added to your website.
ADDITIONAL PAGE
HEADINGS REQUESTED
ADDITIONAL ITEMS
Choose all the items you
want added to your website
YES*
NO
Do you have PHOTOS to add?
SUMMARY OF YOUR
BUSINESS
HOW DID YOU HEAR
ABOUT BEW ETIS?
Filling out this application does not constitute a contract for website design. Your contractual
obligation begins once your application has been accepted and your initial deposit of $125 with
electronic signature has been received. Balance is due within 7 days after the completed website
gets your final approval. When you are Paid In Full I will publish your website and give you
instructions on transfering the files to your computer. At this time you will have control of your website
with the ability to maintain and update it as often as needed. I will be available for support* for up to 1
year.

* Bew Etis support is limited to questions maintaining and managing your SiteBuilder website.
For support regarding your web hosting account please contact Yahoo Small Business.

** You must own the copyrights to any photos submitted.**

100% Satisfaction Guaranteed.
Bew Etis Web Design