Credit Crunch Websites - Complete your order

Please complete the form below, if necessary, please provide any additional information we need to know in the comments section.

If you need any assistance with your order at any stage, please do not hesitate to contact us.

	Name*
	Address Line 1*
	Address Line 2*
	Town/City*
	County/State/Region*
	Postcode/Zip*
	Telephone*

	Chosen Domain Name from step 1*
	Chosen Template from step 2*

	Text for Main section of website (maximum 500 words)*
	Text for Sub-Section of Website (maximum 250 words)*

	Comments

Please send the images you wish to use as an attachment to an email. You must send
two images, the main image should be 400pixels X 300pixels
the sub-image should be 200pixels X 150pixels
Both images can be either in .JPG or .GIF file formats
If you have any difficulties, give us a call on (01492) 580572