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Web Site Proposal Form


Please fill out the form below as compltely as possible. I will contact you to fill in any details.

NOTE: Your hosting will be free for the first year, and will be billed at $16.50 per month, or $181.50 per year thereafter. Your domain name will be free the first year, but will be $16 per year thereafter. I will contact you before the end of your term to make sure you wish to continue before renewing your hosting or domain name.

First Name:  
Last Name:
Company Name:  
City:  
State: 
Phone Number:  
Email address: 


Which template would you like?:

Template #1 (Maroon)


Template #2 (Green)


Template #3 (Blue)


Template #4 (Brown/Tan)




If you already have a domain name, type the URL in the box below.


If you do NOT have a domain name, decide on one, make sure it's available, and type it in here. I will purchase it on your behalf. It is free with this package for the first year, then $16 per year thereafter.



Tell us a little about your business
What type of solution are you are looking for, what do you want your website to "do" for you? Please be as detailed, or brief as you like. You will have ample opportunity to clarify and add detail when we talk further. (Optional)


THREE (3) key-phrases
(These should be 2 or 3 word phrases, targeted to your geographic location or city. This package does not supply enough search engine work to help your rank for "broad" terms. In other words, we might be able to help you rank well for "sporting goods Oakland Maine, or sporting goods Central Maine," but not "Sporting goods, or even sporting goods Maine"


OPTIONAL: If you're ready, type the text you would like on each page in the boxes below. Alternately, you can email me with it later.

Home page text


About us page text


Products of services page text


Links or resources page text


Contact page text
(You can simply specify which fields you want, such as name, address, etc.)

How would you like to pay?

***If you selected "by credit card," you will receive an invoice via email with a payment link

How did you hear about us?

How would you like us to contact you?



I have read and understood Central Maine Web's Terms of Service (TOS) (here), as well as the website hosting agreement (here) and I agree to it fully.


Typing your full name in the box consitutes your legally binding signature:

I, ,have read and understood Central Maine Web's Terms of Service (TOS) (here), as well as the website hosting agreement (here) and I agree to it fully.
First Name:
Last Name:
Email address:

    Type the characters you see in the picture below




© Central Maine Web
a Web Design Company in Maine
Winslow, Maine 04901 * (207) 873-WEB1