Sign Up for your Website with Erickson Web Designs

Sign Up

Congratulations on your decision to have your website on the Internet. This is your first step in developing your website. And thank you for selecting Erickson Web Designs. Questions? tom@ericksonwebdesigns.com

Signing up in 3 easy steps:

Registration

Please click here ONCE to be directed to the correct Sign Up page.
Sorry for the inconvenience.

Step 1. Please complete the following information - this information will remain private and is only for me to contact you.

First Name:

Last Name:

Address:

City: State: Zip:

Phone: Area Code: 7-Digit #: FAX: Area Code: 7-Digit #:

Email:

Confirm Email:

Domain Name

Step 2. If you already have a website address please enter it below - you can skip it if you don't know what it means and I will contact you. If you do not have a website address please enter a website name you feel would be a good choice.
Tip: your name is often a good choice if short and easy to spell or a short catch phrase.

Desired Domain Name (yourwebsite.com/net/org)
Is this a domain name you already own? Check if Yes

Terms and Conditions: Please check this circle to confirm you have read, understand and agree to the Terms and Conditions (required) - thank you.

Referral Source: How did you hear about Erickson Web Designs?

If Other, please specify - thank you:

(Note: if you were referred by a colleague who has a website via Erickson Web Designs they will too will get a 20% discount for 3-months!)

For additional savings, please enter Promo Code: - valid for 3-months greater savings!

Content

Step 3. Your website content is entirely up to you. You may find it helpful to view other websites for more information (Samples). If there is something specific you want to add please let me know when I contact you. If you have not really thought about the content please consider the following structure (pages) for your website - these are only suggestions - you can request changes at any time. Please check all the pages you would would like on your website (please select at least 3):

Home [every website has a Home page]

Services/Specialties

Testimonials

Media Releases/Interviews/Write-ups

Appointments (w/ downloadable forms - e.g., intake, etc.)

Directions [I'll add the graphical map for you]

Disclosure/Privacy (w/ downloadable forms - e.g., Disclosure Statement, etc.)

FAQ

Fees

Links

Mental Health Information/Upcoming Events

About Me [your education, training, experience, interests, etc.]

Contact

Other pages - please enter them here:

In the box below, please enter additional information. Please complete the registration information at the top of this page before you send me your documents and other information - thank you.

Please share your decision to have your website needs provided by Erickson Web Designs:

Thank you!

Please note: If you get a popup window requesting a user name/password,
click your Back button and click here to be directed to alternative Sign Up page.
Sorry for the inconvenience.

I will contact you soon to obtain additional information as your website is being created.
Thank you!

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