EMD-IS

If you know what you want your site to look like and you know what you want to say, then please complete this form and email it to us at provisioning@emd-is.com, or mail it to us at:

EMD-IS

872 S Milwaukee Avenue, #162

Libertyville, IL 60048-3277.

You can print it out, or cut and paste it into a WORD document, or straight into an email, whichever is easier for you. For assistance in completing the form, call us.

Email us with any questions or call (708) 243-6188.

CLIENT DETAILS (not for publication)

Client Code:
Name:
Company:
Address:
City, State, Zip
Phone - Business Mobile Home
Fax:
Email:
Comments:

SITE DESIGN (this is where you tell us what you want the site to look like)

Site name:
Sub Title:
Layout
Background	Color Texture Picture
Borders	Left Top
Font	Type Color Size
Dividers
Logo:
Picture:
Other:

CONTENT (to be included in the web site)

PROFILE

ABOUT Your Company

Products or Services - page 1

Products or Services - page 2

LINKS

www. www.

CONTACT

Name:
Address:
City, State, Zip
Phone:
FAX:
Mobile:
Email: