Mini Web Sales Application

*FIRST NAME:

*LAST NAME:

*ADDRESS:

*CITY:

*DAYTIME PHONE:

*ST              *ZIP

*CONTACT EMAIL

SECURITY: For security reasons please provide us with a security password.

*PASSWORD:                                                     *RE-ENTER PASSWORD:

CONTACT EMAIL:

After payment is received your MINI WEB SITE will be viewable and you can start using your (example) http://miniwebsales.us/TimHolt.htm address.

miniwebsales@gmail.com

Your own Mini Web Site for only

$22.50 per 90 days. That's less

then .25 cents a day!