Fill in as much of the form below as possible before clicking the "submit" button. Use your mouse or the 'tab' key to move between fields. DO NOT press the 'enter' key until you have finished filling out the form. Hitting the 'enter' key is the same as clicking the 'submit' button.

Vendor Information

 First Name:

Last Name:

Address:

Email Address:

City:

State:

Phone Number:

Zip Code:

Vendor Site Information

What would you like the title across the top of the web site to be?

Examples:

• Aunt Sally's Socks

• Ben's T-Shirts

• Scooters R us

• Stereo Heaven

Business Name:

When someone types in the web address, they will append your site name to the end of whitehorsefleamarket.com. What would you like that appended name to be for your business? (short names are good)

Examples for the business names above:

• auntsallysocks

• benshirts

• scootersrus

• stereoheaven

Short Business Name:

Here's the fun part. When someone visits your web page, what paragraph of information would be best to help them want to visit your booth. This is where you can sell your product to the flea market visitors.

Please describe your business:

Give me a list of "key" words or phrases that would point to your web page if someone was searching the flea market for specific items. Please separate the key words or phrases with a comma.

Example:

toys, picture frames, candles, aspirin, cold medicine, belts, pocket books, suit cases,

Key words and phrases:

If you wish to have a link placed on your web site, please enter below the email address you wish all web entered email to go to.

Site Email Address:

The "Frequently Asked Question" section is optional and doesn't cost anything extra if you'd like to use it. Please list below the questions and answers you'd like placed on your web site. If you have more than are allowed on this form, please email them, along with your business name to: henry@iwantmoore.com. If you don't have any FAQs, just proceed to the next section.

Frequently Asked Questions

Question #1:

Answer #1:

Question #2:

Answer #2:

Question #3:

Answer #3:

Question #4:

Answer #4:

Question #5:

Answer #5:

Question #6:

Answer #6:

Question #7:

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Question #8:

Answer #8:

Use the space below to let me know of any other things you'd like added to your web site. Unless it requires a lot more work on my part. I'll let you know if your requests will cost anything and I'll try to give you an idea of how much. Doesn't hurt to ask.

Comments:

Once I've received the above information, I should have your web site up within 24 hours for you to review. Please don't hesitate in letting me know of any mistakes or changes that need to be made to your site.