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iTempo Web Design

Insurance Industry Package - Level II

Please fill out the information below to begin your order. We respect your privacy, so your information is kept strictly confidential.

Client Information:

Business Name:
Address:
 
City:
State/Province:
Zip/Postal Code:
Country:
   
Contact Person:
Phone Number:
Fax Number: (optional)
Email Address*:

*Please note that the email address listed above will be used to send you your account login and password information.

How did you hear about iTempo?

Search Engine? Which One:
Listing?
Advertisement?
Friend/Referral?
Existing Customer?
Other:

If you received a referral code from one of our associates, enter it here:

Referral Code:


Package Selection:

Please choose a Hosting Plan.

Hosting Plan A
Includes 3 email accounts, unlimited email aliases, and 25MB of disk space.
 
Hosting Plan B
Includes 25 email accounts, unlimited email aliases, and 50MB of disk space.
 


Please choose a Design Theme:

Please choose your design theme.

Insurance Theme 1
     Blue
     Green
     Mauve
     Teal

Insurance Theme 2
     Blue
     Brown
     Green
     Mauve
     Teal

Insurance Theme 3
     Blue
     Green
     Teal

Insurance Theme 4
     Blue
     Green
     Mauve
     Teal

Insurance Theme 5
     Blue
     Green
     Mauve
     Teal

Insurance Theme 6
     Blue
     Green
     Mauve
     Teal

Insurance Theme 7
     Blue
     Green
     Mauve
     Teal

Insurance Theme 8
     Blue
     Green
     Mauve
     Teal


Site Content:

Please select the sections you would like your site to include.

Home Page
Quote Info Page
        Include Auto Quote Form (or link to third party auto rater)
        Include Homeowners Quote Form (or link to third party homeowners rater)
        Include Life Quote Form
        Include Commercial Quote Form
Services Page
About Us Page
Claims Info Page
        Include Claim Forms
Links Page
Contact Us Page


Click the "NEXT" button below to continue. Your data will be encrypted and sent using a secure connection.



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Los Angeles, California
All Right Reserved