Contact Information

* Your Full Name

* Address

* City

* State

Country (If outside the U.S.)

* Zip Code

* Email Address

 

Web Page Details

These details are for creating a rough draft of the site and may be modified later.

URL of a page that is an example of what you want.

* Type Of Page      Standard      Sidebar

Sidebar Color (If sidebar page)  Color Chart

Main Page Color  Color Chart

Text Color  Color Chart

Link Color  Color Chart

Do you want a background image?    Yes    No

Do you have a logo image?    Yes    No

Do you want text links to be underlined?    Yes    No

Do you want background music.    Yes    No
If Yes:    Song Title     Artist 

Please give a general description of the pages you want including any elements not listed above.

Note: Any images (gif or jpg) that are to be implemented into this page must be sent as an email attachment to kjkorner@peoplepc.com with your full name as the subject.

By submitting this form you are agreeing to have me build you a five page web site to your specifications. You further agree to send me a check or money order in the amount of $75.00 U.S. when the site is completed to your satisfaction.