1- General Information

Name

Address 1

Address 2

City

State

Zip Code

Telephone Number

E-mail address

2- Background

Please choose either a solid or a pattern background for your web page. Backgrounds can be seen by clicking the links below. If you don't see one here that you would like, and you have one of your own that you would like to use, choose "none," and then email the background to me as a .JPG or .GIF attachment.

Solid Color Backgrounds aqua black brown dark blue gray green lavender light blue light green maroon medium blue navy orange periwinkle pink purple red yellow none of these

Pattern Backgrounds blue with stars 1 blue with stars 2 Calvin Hobbes candy hearts clear day clouds cows cowspots drops blue drops green fern gray stars hands 1 hands 2 honeypot night pastel puzzle pastel 1 pastel 2 pastel 3 pastel 4 Pooh friends red brick red plaid rich wood scale shooting stars smiley softlite stars 1 stars 2 stars 3 stars 4 velvet black velvet purple velvet red warm plaid white with gray stars white with pastel spots white with blue stars white with jelly beans wood none of these

3- Font

Please choose the font you would like used on your web page.

Times New Roman

Arial

Courier New

Comic Sans MS

Calligraph421BT

BibleScrT

Brush Script

Unique

other

4 - Text Color

Please choose the text color you wish for your web page. Keep in mind that a dark background needs a light text color, and a light background needs a dark text color, as seen in this chart.

Text Color black gray dark red dark yellow green teal dark blue violet white light gray red yellow bright green turquoise blue pink

5 - Background Music

Please choose some background music for your web page. If you don't want any, please select "none." If you want to use a .MIDI file of your own, choose "none" on this form and then email me the file as an attachment.

Background Music Alf Theme Anamaniacs Theme Any Dream Will Do Braham's Lullaby Can You Feel The Love Tonight? Colors Of The Wind Do Your Ears Hang Low? I Just Can't Wait To Be King I'm A Little Teapot It's A Small World Itsy Bitsy Spider Rockin Robin Sesame Street Theme Somewhere Out There Teletubbies Theme Through The Eyes Of Love Tiny Toons Theme Under The Sea None

6 - Page Title

Please enter the title you would like for your page.

7 - Text

Please type the text for your web page into this space. If you need more space, please write it in an email to me.

Type Your Web Page Text Here

8 - Graphics

Please email me any graphics or pictures you wish to be used in your web site. Make sure you tell me which page you want them placed on. Send them as .JPG or .GIF attachments.

9 - Pages

This is page choose page number 1 2 3 4 5 6 7 8 9 10 of choose total number of pages 1 2 3 4 5 6 7 8 9 10 pages total for this site.

That's about it! Now just make sure everything is filled in, and then click the "Send" Button. I will be in touch with you shortly.