Order Form

When ordering your website fill in the spaces that apply and Submit the form and Print the form. (best way to print is to copy and paste to notepad)
(Mail the printed form, payment, and at least one photo of your organization. (Photo can be emailed later).
Mail to: MJ Winters
box 364
Bunker Hill, Indiana 46914




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Website Design and Sales Home
About This Service

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Order Form

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Option 1 / Option 2

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Examples
Complete this form and click submit to get your website rolling.
Name:
Email Address:
Your Question, Comment or Suggestion
Ordering a Website? Yes *I'll send $50 total.
Ordering Extended Service? Yes *I'll send $80 or $160 total.
Type of organization (example: Church)
Name your website (example:First Baptist Church)
The Address: State, City, Zip,
Telephone
Slogan or Mission Statement
History, Mission, or About your organization
Staff Names, postion to contact, additonal email addresses to contact.
Ten favorite Links or links to your other branches or offices

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