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She Does Webs - Design Request Application

(Prefer to "Surface Mail" this Application? Simply "Print" this Form on your Printer, Fill in the Information Required and Mail to -

"She Does Webs" - c/o Eve McLain - 472 E Tibet RD - Columbus, OH 43202)

Your Name

Business Name

Type of Business

Business Address

City

State

Zip Code

Phone Number w/Area Code

Cell Phone or Pager Number

Best Time to Call? AM/PM?

E-Mail Address

Hours of Operation

Company Tag Line or Slogan

Color Selection Preference

Theme Selection Preference

Payment Information/Options

Comments/Suggestions

Click on "Send" to Submit via e-mail

Click on "Clear" to start over again

- In 2004 there will be two types of Businesses. Those that are On-Line & those that are "Out of Business." - Which type will YOU be?

Contact /E-Mail Eve About US Online Application