Sign Up Form

To sign up for myWEBSHERPA.com web site design or hosting please call 831-359-4245 or complete the form located below. If you sign up over the phone you will still need to provide the information that this form asks for before work can begin on your web site.

If you are transferring your existing web site from another hosting company to myWEBSHERPA.com please use the transfer form.

Your contact information Name:* Email:* Phone number:* Address:* City:* State:* Select a state... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming --- CANADA --- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip:* Organization: Referred by: * required

About your web site Have you already registered your domain name? Yes No Your first domain name choice: If you already have one list it here Second domain name choice: If your first is unavailable Third domain name choice: If your first and second are unavailable Nature of your web site: How many pages will your site contain? If unsure leave as is Are you planning on accepting credit card payments on your web site? Yes No Which of the following would you like to include on your site? Photo Gallery Blog Guest Book Feedback/Contact Form Other Do you already have your own logo? Yes No Do you have any graphics that you would like to use with your site? Yes No Do you already have the written content ready for your site? Yes No Special instructions or questions:

Hosting Plans Will you be hosting your web site with myWEBSHERPA.com? Yes No Which hosting plan will you be purchasing? Choose a plan Plan 1 - $25 a month Plan 2 - $35 a month Plan 3 - $55 a month Unsure I will not need hosting Email accounts If you are hosting with myWEBSHERPA.com please indicate what email accounts you would like set up at this time. Please indicate just the user name, the user name is the part before the @ symbol (example: username@yourdomain.com). Separate user names with a comma or a return. enter email user names here setting up email accounts can also be done at a later time

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