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Fields marked with an * are required.

First Name: * Last Name: *
School E-Mail Address: *
School Name:
School Phone:	Shipping Address if different than mailing:
School Fax:
Enter Mailing Address Below:*	What would you like for the name of your website? This is what visitors will see on the banner at the top of your homepage. You probably will want to use your school name (i.e. Eagle Bible Institute) Website Title:

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Will this website be a new website, replacement, or addition?

If it is an addition or a replacement, what is your current website address?

Domain Name desired: (yourschool.com, yourschool.org, or yourschool.us) This will also be 100emailaccounts@

First Choice: *.*

Second Choice: *.*

How did you hear about us?

If person or ministry, please Enter their name so they might get credit:

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What color theme do you want? * 6 Color Samples Below:

Do you want online registration forms, handbook, and payments? You will be asked later to send us files or forms and various registration amounts. (2.35% plus a 30 cent transaction fee for each payment. i.e. $150 Registration Fee would cost $3.83 to collect online. Current tier is $10,000 monthly transactions=2.2% and $3,000 monthly transactions=2.5%) Choose Yes even if you just want forms with no payments.	YES NO *
Do you want Tuition management? You will be asked later to send us various tuition scenarios. (1.9-2.9% plus a 30 cent transaction fee for each payment. i.e. $300 monthly tuition payment would cost $7.35 to collect online. Current tier is $10,000 monthly transactions=2.2% and $3,000 monthly transactions=2.5%)	YES NO *
Do you want an ATM/Mastercard to withdraw online school payments from an ATM or use to make credit card purchases using your online school payments? Good for ordering curriculum. (Usually mailed to you 60 days after signing up and can be used for car rental insurance.)	YES NO *
Dou you want a From the President's Desk, Dean's Desk, Administrator's Desk or Secretary's Desk? This is the page that can easily be added to from any computer with internet access.	*

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Financial Agreement: You understand that due to the labor and expenses of these services that you will commit to 12 months of service with Sentweb. After you click the button below, you will be asked to either pay for the entire year at $35 per month ($420) or pay for six months at a time at $37.50 per month (2 payments of $225) or pay monthly at $39.95 per month. If you pay monthly or six months at a time, you will be signing up for a recurring payment similar to the Tuition Management program we offer. Payment by check is available for annual payment. Your payment includes domain registration if needed, website with the pages listed in the school package, registration feature if needed, tuition management if needed, 100 e-mail accounts, one web video, 800 mb of webspace, and a minimum of 12 hours of SentWeb labor per year.

(Please enter initials if you understand.) I understand *

Name:*

Position:*

Click the Submit button only after you have looked over your entries!