What text do you want in your title line?   ie: Rachel's First Web Page

What name do you want in your main banner?  ie: Rachel Kelly Rothrock

Do you have a specific color(s) you would like used on your webpage?

Yes   If Yes, please enter Color(s):    

No

Do you have a theme you would like used on your webpage?

Yes  If Yes please enter Theme:         

No

Do you have a LOGO you would like to appear on your webpage?

Yes No

Is there an email address you would like to list on this webpage?

Yes If Yes please enter Email address:  

No

Please enter the following fields for the "Bio Page" of this webpage:

Favorite Color(s):            
Favorite Sport(s):            
Favorite Artist(s):           
Favorite TV Show:             
Favorite Book:                
Favorite Food:                
Siblings:                     


  
Please write a paragraph or so about the "star" of this webpage that will be displayed
 on the "About Me" page: 
 
Please tell us any other info (or favorites) you would like to see on this webpage: 
 

Do you want to have this site exist on KidsFirstWebSite.com?
Yes 
No

Or Do you want to use your own domain name?  
Yes 
No
If so, what domain name would you like to use?  ie: www.hoperothrock.com 

 Does this domain name already exist? 
Yes No

 Customer Name:           

 Street Address:        

 City:                     

 State:                        Zip Code:               

 Phone Number:                 Fax Number: 

 Email Address: