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To specify the content of your website, please complete the following form.
Don't worry if you make a mistake. We'll review your information before building your website and will call you if we believe it needs to be edited, modified or improved.
R indicates a required field
Our BSD Representative (if applicable)
Contact Persons Full NameR
Business NameR
ABNR
Street Address Line 1R
Street Address Line 2 (if req'd)
Suburb / TownR
StateR PostcodeR
Country
Landline Phone (incl area codes)R
Mobile PhoneR
Fax (incl area codes)
Email Address of your
Broadband / Dialup AccountR
Type of Business
Short Description or Slogan
(1 short sentence)

In up to 10 bullet points, list what do you do?

How would a typical customer describe the things you do?

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Write one or two SHORT promotional paragraph/s about your business.
Explain why you're different/better etc
Use this to 'sell' your business.

Keywords / Keyphrases

What individual words or
keyword phrases (2 to 3 words)
would a typical layperson use
to search for your services/products
on an internet search engine?

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Your Preferred Domain Name
Check availability at http://www.domain.netregistry.com.au/
DO NOT register the domain name
- it is part of your package.

CLICK HERE for hints on choosing your preferred domain name.		 www.
Designate 'user' names for
up to 5 new email addresses
at your domain

eg. yourservice@yourdomain.com.au
john@yourdomain.com.au
info@yourdomain.com.au		 @yourdomain.com.au
@yourdomain.com.au
@yourdomain.com.au
@yourdomain.com.au
@yourdomain.com.au
List the areas and/or suburbs
that you prefer to operate in.
Separate suburbs with a comma.

eg. We service the North Western suburbs of Melbourne including Suburb1, Suburb2 ... etc.

Please check ONE box
for your preferred website colour scheme












and ONE box
for your preferred secondary colour.








All sites will include greys and black.
 Primary Scheme colours
Light-Medium Blues/Aquas
Dark Blues
Light-Medium Greens
Dark Greens
Teal-Emerald-Sea Blue/Greens
Purples/Mauves
Red
Oranges-Browns

Secondary colour (for contrast/emphasis)
Dark Blue
Dark Green
Dark Teal
Red
Purple
Orange
I have read and agree to the Terms & ConditionsR
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