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GunFax Web Site Services
PLEASE PRINT
Important Notes

You may print and complete this form and mail it - along with your check or money order made payable to "William E. Miller" - to the address above or feel free to call me to take your information and I can send an invoice.

If changes or additions need to be made to the information you submit on this form, simply contact me.

You may go ahead and fill out as much information as possible now, and we'll make additions and changes later, after we discuss your preferences further.

You may send pictures and logos later, after we discuss your page further, or if you wish, you may e-mail them to me any time.

If you want your business card or other logo, etc., on your Web site and do not have it in electronic form, you may mail it to me and I will scan it and include it on your Web site.

  • As I develop your site, I will assign it a temporary Web address. Once I have the draft of your page completed, I will let you know where to find the site so you can see it and let me know what you think.
  • Once you are satisfied with your site, I will finalize it and promote it so folks can find you.

GunFax Web Site Application

Pricing (please check one)

  • a Web site and a domain name of your own such as "www.joesgunshows.com"
    (annual renewal is $265 and non-refundable)

    ___ $265 per year OR ___ $25 per month

Payment

Please mail completed form along with your check or money order payable to "William E. Miller" to the address above.

Your Information (please print clearly)

_____________________________________________________________________________
Your Name

Do you want your name to appear on the Web site? ___YES ___NO

_____________________________________________________________________________
If YES, what if any title would you like to appear by your name?

_____________________________________________________________________________
E-Mail Address

Do you want this address to appear on the Web site? ___YES ___NO

_____________________________________________________________________________
Company Name

_____________________________________________________________________________
Company Address

_____________________________________________________________________________
City State ZIP

________________________________

Business Phone

________________________________

Business Fax

_____________________________________________________________________________
Federal Firearms License # (FFL)
(only required if you are engaged in selling or repairing, engraving, stock carving or otherwise working on guns for pay. I will not post your FFL # on the Web or otherwise share or release your FFL#.)

________________________________

evening or private phone

________________________________

best time(s) to call

X____________________________________________________________________________
Signature: I hereby contract with William E. Miller for Web services.    Date


Domain Name Information

Do you currently own a domain name that you want to use for this Web site?

  • YES
  • NO

www. ________________________________________________ .com

If YES, what is the domain name? (e.g., "www.yourdomain.com")

Do you want a new domain name as part of this service? ___YES ___NO

(63 letters maximum, subject to availability)

www. ________________________________________________ .com* 1st choice

www. _________________________________________________.com* 2nd choice

www. _________________________________________________.com* 3rd choice

*(while I recommend a ".com" extension, you can choose .net, .org, .us, or .biz by simply entering your choice here_____)

Other Information

If desired, list any associations, clubs, organizations you belong to:

_____________________________________________________________________________

_____________________________________________________________________________

Other items you carry or wish to have listed on your Web site:

_____________________________________________________________________________

_____________________________________________________________________________

Other services you offer or wish listed on your Web site:

_____________________________________________________________________________

_____________________________________________________________________________

Other information, questions, etc.:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________