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Kendrick Information Technologies

- Setup My New Website -

If you are ready to order a new website, please complete this form and include as much specific information as possible.  Please DO NOT include any credit card information.

If you need more urgent assistance, please call this number:

(Bold labels indicate required fields)

Name:
Email Address:
Phone Number:
Address:
Suite:
City:
State:
Site owner / administrator:
Preferred domain name:
Domain Name Extension: .com
 .net
 .org
 .biz
 .edu
 other
Other domain name extension:
New email address #1:
New email address #2:
New email address #3:
New email address #4:
New email address #5:
Do you wish to have your website hosted by
ECTISP (this is recommended by KIT)? 		Yes
 No
Do you wish to have your website designed
 and maintained by Kendrick IT? 		Yes
 No
Notes / comments:

By clicking the "Submit Form" button, you are  authorizing the actions indicated above,  which may include domain name registration, website design and development and/or website hosting service as indicated by your choices. You also agree to pay the corresponding fees and charges immediately upon receipt of the invoice and you understand you will receive a monthly webhosting service invoice from ECTISP if you have elected to have them host your website.

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