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With a little info from you, your site will be done in no time!

Please complete the following questionnaire with as much information as possible. We will contact you to discuss your site.

Contact Name
Business Name
Business Address
Business Phone
Email
Industry
What would you like to include on your website?
 Menu
 Customer Testimonials
 FAQs
 Service/Product Descriptions
 Guestbook
 Opinion Poll
 Photo Gallery
 Survey
 Slideshow
 Blog
 Online Message board
 Feedback forms
 Video clips
How long have you owned your business?
Provide an "About Us" paragraph. This is what will display on your home page. What do you want your customers to know about you?
What is your tagline or slogan? (leave blank if none)
What are your hours of operation?
Do you have a custom logo?
 Yes
 No
Do you have digital photo's you can send us?
 Yes
 No
Do you have a menu, brochure or print ad?
 Yes
 No
Would you like to provide coupons on your site? If so please describe
Are you currently paying for advertising? If so please describe.
Please add anything else you would like to include
 

Payment Options

Monthly Subscription:

No hidden costs. No set up fees. Click below to choose $20/month.

 

Annual Subscription:

Get 1 month free when you subscribe to annual billing. Thats $220 per year for your website. Click below to save $20 per year with annual billing:

 

* Payment processing is handled through paypal.  Clicking on a subscribe button above will bring you to paypal's secure website to enter your payment info.  Zipyourcode, Inc. does not store or even see your credit card information for security purposes.

You can also enter your information into the following Site Data Doc and email it to info@zipyourcode.com