Please provide us with the following Information :
Type of Organization:
Please Choose
Academy
Art & Cultural Center
Association
Cemetery corporations 501(c)(13)
Charitable
Child care center
Church
Civic Leagues, Social Welfare. 501(c)(4)
Coalition
Community Development Corporation
Elder or handicapped
Environmental
Faith Based Ministry
Hospital
International Missions & Exchange
Labor, agricultural, and horticultural 501c5
Ministry
Orchestra and Music Troupe
Prevention of cruelty to children or animals
Recreation
Research and Scholarship
Scholarship benefits, student aid, etc
School
Scientific
Social and recreation clubs 501(c)(7)
Sports & Athletic
Television & Radio station
Welfare
Other:
Organization Name:
Organization.
Email:
Email.
Email Confirm:
First and last name only:
Title
Mr.
Mrs
Pastor
Doctor
Rev.
.
Address (No PO Box):
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City:
State:
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AL
AK
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AR
CA
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CT
DE
FL
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IL
IN
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KS
KY
LA
ME
MD
MA
MI
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MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
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SC
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TN
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UT
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VA
WA
DC
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AE
AP
AA
Not USA
Zip:
Home Telephone
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A value is required.
Business
-
Cel:
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_______________________________________________________________________________
Do you have a domain name?
Yes
No
If no,We will register a name for you
If yes, please type it in:
If no, Please enter your desired name
.org
.com
.net
.biz
.info
.Us
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Do you have hosting?
Yes
No
If not we will provide
Please list the titles of your web pages :(Check all that apply)
Home
About US
Contact Us
Organization News
Mission
Donations
Other:
Other:
Other
Other
Slogan Line :
Any Slogan line you would like to
use with your website.
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Mission/Vision Statement :
Please describe the theme & effect you are looking for in your website.
Will you need any particular images, pictures and or photos on your web page? If so please describe any needed.
Do you or will you have income from Donations and/or merchandise sold, on your website?
Yes
No
If “Yes,” Explain in detail.
Is there any website that you find appealing,with your organization, list those websites:
How would you describe the effect you are looking for in your website:(Check all that apply)
Academy
Artistic
Association
Cultural
Education
Family
Fellowship
Foundation
Institute
Heritage
Literary
International
Music
Mission
Religious
Philanthropic
Scientific
Sanctuary
Society
Social
Troupe
Traditional
Tutorial
Other:
Other:
Check what colors would you like us to use:(Check all that apply)
White
Silver
Gray
Black
Maroon
Red
Olive
Orange
Yellow-Green
Yellow
Lime
Green
Teal
Green-aqua
RGB- 'cyan'
Aqua
Blue
Navy
Purple
Violet
Red-purple
Fuchsia
CMYK 'process' Colors
Cyan
Magenta
Yellow
Black
Other:
Do you have any additional comments?