Jelly Websites New Client Info

Thank you for taking the first step in allowing Jelly Websites to create your online marketing program. In order to set up your account, please fill out this form completely. Once we receive your order, one of our designers will contact you to confirm your information and collect design details.

Package Choice:*

Custom AI Website - $225/monthSocial Media Package - $350/monthCustom Website and Social Media Package - $475/monthCustom

Business Name:*

Contact Name:*

Email Address:*

Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number:*

Area CodePhone Number

Cell Number: *

Area CodePhone Number

How did you hear about us?*

Do you currently own a domain name?*

If yes, what is your domain name and current registrar?

Do you want Jelly Websites to host your new website?*

If no, who is your current host or hosting company you will be having your new site uploaded to?

Disclosure and Consent

I have completed the above information to the best of my knowledge. If additional information is needed, please contact us for details.

To learn more about our Terms of Service and Conditions visit https://jellywebsites.com/terms-of-service.html

Confirmation:*

I Agree to Terms of Service and Conditions

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New Client Information

Disclosure and Consent