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Design and Program Assistance Request

Please use the following form to request design or other services available for Featured Programs.

We will be in contact with you promptly to discuss any details.

Date Priority A
Customer Name * Location ID * Program Level * Platinum
URL URL of customer on
Rep Rep e-mail Rep phone
Contact Customer contact name
E-mail Phone
Contact Method Indicate preferred contact for this account
Direct to Customer Contact
Through Rep Only
Complete Service Request Covers all features available at level - Check one
Platinum Website Design Complete
Platinum Web pages creation
Blockbuilder Design Complete
Blockbuilder page creation
a la Carte Service Request Check all services requested
Platinum page update
Blockbuilder page update
Tab colors
Main page logo and taglines
Main page slideshow
Leaderboard Banner
Skyscraper Banner
600x300 Banner
Manage custom domain and redirect process
Newsletter management
BoatBuzz management
Work order/ Custom Form
Contact Services Requested Contact rep monthly to update account
Contact customer monthly to update account
Comments / Instructions
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