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Page 1 of 4 City-Connect.com( Print form out and mail to City-Connect ) 16 S Main st Miamisburg , Ohio 45432 PHONE (937)241-5551
WEB SITE DESIGN AND HOSTING CONTRACT
CONTACT INFORMATION: Contact Name:___________________________________________________________________________ Phone: _____________________________________Fax:________________________________________ Company/Client:__________________________________________________________________________ Address:________________________________________________________________________________ E-mail address:__________________________________________________________________________
WEBSITE INFORMATION: Present WWW URL (if any): _______________________________________________________________ New Domain name(s) requested (if applicable)_________________________________________________ - Other choices if first choice not available____________________________________________________
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