Website Content Release Form

Please complete the Website Content Release Form below:

1. Order Number: *

This should have been supplied after making your order.

2. Full Names of Organisation/Individual: *

3. Full Address of Operational Headquarters *

Include Country of Operation

4. Contact Phone Number *

5. Name of Contact Person to liaise with during the website development *

First

Last

6. Contact Person's Phone Number *

7. Email Address for communication during website development *

Email

Confirm Email

8. Please give us the cPanel details if your have registered your Domain Name, Hosting Account and SSL Certificate?

9. What is your preferred website url? *

10. Indicate the features you want on the website based on the discussions with our design theme?

If you won't need for any of these features, there is no need indicating them. We will always advice accordingly.

11. List other features you may want on the website outside the ones above

12. Give us the url of other websites you would like us to use as template for your own?

13. What are the two colours we can use as your website's colour theme?

Declaration: *

I understand I will be subscribed to the #FreeWeb4SDGs Newsletter to receive updates on Resipiscentia Webmedia operations.

Type in your Full Names to represent your signature:

Email

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