Web Site Application Forms A 6 Page Site - SB B Interactive Site - SB C Pre-Drawn Templates D Custom Made Sites E Build Your Own Site SB = SELF BUILD

STEP 3 - HOSTING YOUR DOMAIN NAME APPLICATION FORM: WEB SITE HOSTING YOUR DETAILS * Required fields *Your Name:   Business Name:       ABN: *Address          *Town     *State      *Country        *Postcode: Phone:     Fax:     Mobile:   *Business Category:   (Type of Business, Product or Service) Brief Business Description (up to 30 words):   Enter your email address here.   WEB SITE DETAILS * Required fields Type in the domain name you have reserved for your web site. 1) 2) HOSTING ADDRESS: 1) http://bendigolive.com/localbusiness/yoursite   $110.00 2) http://bendigolive.com/yoursite   $110.00 Please supply me with more information on the following services ( This is a once off mailing ) Search Engine Submissions Display Advertising on Bendigo Live     This site © 2004 by wwwlive