slycemedia.com

 
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Slyce Media Web Design Application
Applying for our Special? Which of our Specials are you applying for(if any)?
First Name *
Last Name *
Phone *
Email Address *
Company Name
Business Type What type of business are we building your website for? (Retail, Music, Modeling, etc,..)
Domain Name Idea #1 Please provide your Domain Name choice.
Domain Name Idea #2 Please provide your 2nd Domain Name choice. There is a very good chance that your 1st choice has already been registered by someone else. Please provide another.
Domain Name Idea #3 Please provide your 3rd Domain Name choice. There is a very good chance that your 1st and 2nd choice has already been registered by someone else. Please provide another.
Color Preference? If you have a color preference, please type it here. (Red and Black)
Time Sensitive?
If your website order is time sensitive, please provide a date for completion.
Notes Please provides us with your website ideas, site samples, or other info you may find helpful.

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Company Info

Slyce Media is your headquarters for graphic design and web site development. Our professional staff can help your business in achieving its design goal as well as any other media assistance you require. We have the latest in technology and programs necessary to incorporate any and all of your graphical solutions.
Click here to explore our services.

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Contact Us

Slyce Media
4612 W. Western Av.
South Bend, IN 46619
Ph: 574.876.7748
Email: info@slycemedia.com
Website: http://slycemedia.com