New Client Form

Company/Entity Information

 

Website Information

  • This agreement is between the above-listed entity and Justin Long LLC for the construction and maintenance of my website. By electronically signing and submitting this form, I agree to pay the website construction fee listed below, and I also agree to the monthly maintenance fee of $100. I understand that failure to pay my monthly bill could result in my website being taken offline. I agree that I am ultimately responsible for the content of my website.
 

Verification