Web Site Application Forms
A6 Page Site - SB
BInteractive Site - SB
CPre-Drawn Templates
DCustom Made Sites
EBuild Your Own Site
SB = SELF BUILD
STEP 1 - OBTAINING A WEB SITE

APPLICATION FORM: SELF-BUILT WEB SITE

YOUR DETAILS* Required fields
Business Name:  
*Your Name Name:       ABN:
*Address          *Town    
*State      *Country        *Postcode:
Phone:     Fax:     Mobile:  
*Business Category:     Reservations:  
(Type of Business, Product or Service)
Brief Business Description (up to 30 words):
  Enter your email address here.  
WEB SITE DETAILS* Required fields
Select the name you want to use for your web site. ( up to 8 letters ) Choose three different user names in preferred order just in case your first preference is already taken. ( we will assign only one )
1)   2)   3)
Find your web site at:     http://bendigolive.com/localbusiness/yourname/

Tha address http://bendigolive.com/localbusiness/yourname speaks for itself and a great address to park your business. For an extra fee, you can shorten that name to http://bendigolive.com/yourname
HOSTING ADDRESS: OPTIONAL EXTRA         ( 1 is Standard )
1) http://bendigolive.com/localbusiness/username
2) http://bendigolive.com/username   $55.00 extra

Please supply me with more information on the following services ( This is a once off mailing )
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