Welcome to Powerfulchuck Web Design Services



Each Web Page Costs Six Dollars ($6.00) per Page

To have a Web Site done
Please fill out the form below
and send any images to be used on the site to:
powerfulchuck@manlymail.net

Please include the following information with the images:
1: image caption
2; Location of Image(which page does it go )
3; If the image is a background image
4: If the Image is to be part of the page banner



We will design a number of different sites and send you Images of the sites
by E-mail. Each site will have an order number.
When you decide which site you want to use, Return here and click the "Pay for Web Design"
button at the bottom of the page. Select the number of pages that you had done and enter the Order number



Web_Design

Name *
Prefix
First *
Last *
Suffix
Email *
Confirm *
Phone *

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Web Site *
Checkbox *
 Home Page 
Home page Text *
Checkbox
 Second Page 
Page 2 Text
Page 3
 Page 3 
Page 3 Text
Checkbox
 Page 4 
Page 4 Text
Image Verification
captcha
Please enter the text from the image:
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Number of Pages
Order Number