Need to Know Designs, LLC

Sales' Person Name * What's seller's name?

Business Name * What's the Business Name?

What's the Business Address? Street Address? *

City *

State * Pick a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming

Zip *

Contact Name * Person in charge of updating information/billing

Contact Method * Enter Phone Number or Email address E-mail Valid E-mail please and / or Phone Number Full Phone Number including area code

Operating Hours * One for each day, mark closed if closed Sunday: Monday: Tuesday: Wednesday: Thursday: Friday: Saturday:

Domain Name * List top 5 in order of preference

Template Choice * Pick One Adrain Cabool Alba Iberia Wasola Bagnell Stockton Eagleville Amoret Hale Gainesville Annapolis Darlington Fairfax La Belle Macks Creek Napoleon Oak Grove Jackson

Template Style Only certain templates have options (Left to Right 1, 2, 3) (If Applicable) 1 2 3

User Name * For logging into CMS (Password will be communicated via contact method after setup)

Other Desired Users (username) and Roles(Front Desk, Scheduler, Manager, Staff) To keep from having to share passwords among staff

Services Purchasing * Which services does the client want to sign up for

Business Card on the Web Products and Services Coupon Generator Mailing List Custom Development