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Website Application Form
home
/ Website Application Form
Website Design Application Form
Fill this form from page 1 to 4 and click 'complete registration' at end of page 4.
If you are not sure about field, just leave it blank and move on to the next page.We will use the information collected on this site to build your website. You can contact us on order@itassistvanuatu.com or by phone +678 5523190.
Business Information
Which category type below best describes your business?
Select value
Agriculture
Automotive
Education
Government
Media/Personal blog
Sport
Tourism
Others
What's the name of your Business?
Preferred domain name? (The website address people will input in the url box)
Preferred domain suffix? (The website address suffix people will type. e.g. .gov, .com.vu, .vu, .com, .info, .net, .sport, .fj, .au)
What are the contact details for this property?
Name
First
Last
Address
Street Address
Street Address Line 2
Village/Area
Island
Mail Box
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales
Yemen
Zambia
Zimbabwe
Country
Phone
Mark your business location on map
Layout and Pages
Do you prefer a particular Content Management System? (If not sure leave it blank)
Select value
Drupal
Joomla
Wordpress
Alfresco
SilverStripe
TYPOLight
Other
If other, type the name of the CMS below.
Number of pages? (e.g. 1. Home, 2. Services, 3. About us, 4. Contact us. If not sure leave it blank)
Texts
Forward other texts and photos for each page to order@itassistvanuatu.com. They can be word document on company information, mission statements, visions, constitution, company policies, company structure, photos in high resolution, biography of staff, product descriptions and pricing, etc...
Social Media Information
Have you registered the company to a social media network?
Yes
No
If yes, specify the social media sites you have registered the company or is affiliated to.
Which social media sites have you registered the company on?
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
For others not listed above, type the name of the social media network below.
If no, list the social media sites you wish to use to promote your business on?.
Facebook
Google+
Instagram
LinkedIn
Pinterest
Twitter
For others, type the name of the social media network below or leave it blank.
Payment Information
Specify the payment types you accept.
Payment types
Bank Transfer
Cash
Cryptocurrency
Paypal
Western Union
Others
Email us at order@itassistvanuatu.com to make arrangement of payments, we will gladly forward our Banking details or address to you.
Taxes
VAT/Tax settings
VAT settings
Default (12.5 % is usually included in prices)
I don't need to pay VAT
Complete Registration
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