LNC Website Design Form

Instructions:

Fill in the fields below.  If you do not have all of the text ready for your pages, fill in the top portion of the form and submit the form.  Return to this page when you have time to complete the text for your pages.

If you have photos or a resume to include, please send them to us by separate email attachment.  Resume/CV may be submitted in PDF, Word Pad, Word or Word Perfect formats.

Personal & Business Information:
 
Your Name & Title:
Your Company Name:
Your Business Address:
Business Phone:
Business Fax:
Phone for us to contact you should we have questions about your form:
Your Email:
   
Select Your Unique Domain Name (e.g., marydoelnc.com; lncservices.com):
 
Domain Name (1st Choice): .com Domain:
Domain Name (2nd Choice): .com Domain:
   
 
Select colors & Design Layout (NOTE: This section is only for special customized websites)
   
Colors: Background:
  Boarders:    
Send us your photos/Resume by regular email attachment.
   
Web Pages:  
   
Title Page 1: (e.g., "Home")
Text Page 1:
   
Title Page 2: (e.g., "Services")
Text Page 2:
   
Title Page 3: (e.g., "Fees")
Text Page 3:
   
Title Page 4: (e.g., "Resume")
Text Page 4:
   
Title Page 5: (e.g., "Contact Us")
Text Page 5:

Complete the next 2 pages only if you ordered more than a five (5) page website package, otherwise skip to the next section:
Title Page 6:
Text Page 6:
   
Title Page7:
Text Page 7:
   
Other Info/Instructions:

Please do not press the submit button more than one time.  After you press the submit button, it may take a few moments to send the form.