Powercom Pacific :: Website Bundle Application

Business Name:

Email Address:
(for the main person we will be talking to about the website)

Mobile Phone No.:

Landline Phone No.:

Domain Name
Let us know the domain name for your website eg. mybusiness.com.au

Domain Registration required
Select Yes if you would like us to register your domain name on your behalf. If you select No, you will need to register it yourself and let us know the domain details, or if already registered we'll need to make appropriate arrangements.

Click for YESClick For No

Organisation Logo
Send us your logo artwork - medium quality image preferred, but letterhead template or brochure PDF is also acceptable. Your logo will be incorporated into your new website.

"Contact Us" Address/Street :
Your "Contact Us" address that will be shown on your website.

"Contact Us" City/Suburb:

"Contact Us" Postcode :

"Contact Us" Email :

Home Page text
2-4 paragraphs that describe your products/services, and why a website visitor should find out more about you - in other words, your 'first impression' that lets people know they're at the right website for what they're seeking.

(Optional - we can add this later, including images/photos).