New Customer FormPlease fill in the form belowContact Name* First Last Your Email Address* Contact Tel. No.*Postal addressDo you already have a website (domain name) address? Yes NoPlease let us know: I will be registering my domain (website address) myself I would like you to register my domain for me (at an annual cost of £11.99+VAT for .co.uk domains or £17.99+VAT for .coms) I am not sureYour website addressName of your current hosting (if self hosting) or website companyDo you use an email address derived from your website name eg '[email protected]' Yes No Not yet, but I would like to have an email address set up for meWhat type of website service did you order from us? 1 Page Website Standard Base Service New Sales Funnel 5 page website Bespoke ServiceDo you have a deadline by which time you wish your website to be completed? If so, please fill in the deadline date below: Date Format: DD slash MM slash YYYY Text for your new website - please let us know: Please take text from my old website I will provide you with new website text before you start building my website Bit of bothAccommodation Name*Accommodation Location (Town & County)*Type of Accommodation Self catering Bed & Breakfast / Guesthouse / Hotel OtherOur Terms & Conditions View our Terms & ConditionsPlease confirm* I confirm I have read and accept Web Design For Accommodation's Terms & ConditionsAny Comments / Questions or suggestions!