JK Web Design - Place Order

Ready to place your site online? Fill out this simple form and we will get back to you as soon as possible with more information.

***Please note: By submitting this form, you are not committing yourself to any services. You will receive a follow-up email based on the your submitted preferences.***

First Name
Last Name
E-Mail Address
E-mail Address (retype)
Business Name
Do you currently have a website?
Do you have a business logo to use?
What services are you interested in? (check all that apply)	Full Website Design Website Template Website Maintenance An eBay Template eBay Auction Creation
Please describe the site you wish to have. Include details such as colors, layout (for example, two columns like this website). Also mention any example websites that may have a similar layout. If you are ordering more than one template, please specify which description goes for which template.