EFARLEY®
WEB MEDIA & GRAPHIC SERVICES
EFARLEY®
WEB MEDIA & GRAPHIC SERVICES
An Efarley Productions Company®
Efarley Web Media & Graphics®
Application for Website and Media Services
CLIENT / CUSTOMER INFORMATION
The information collected in this section is for EFP account purposes only.This information will not be displayed on websites or media
Application Date:
Client Name:
Client Number:
January 25, 2024 at 9:11:19 PM
Patrick
Jackson
20120717
Business Name:
New Culture Striving
Client Email:
Client Phone:
510-395-1481
How did you hear about EFP®?
Friends/ Family
Communication Preference
Text
WEBSITE DETAILS
Use this section to tell us about your desired website. Once we have received your application, you will be provided options on how to submit your content.to the designer, such as product images, pricelist, mission statments, etc.
Domain Name:
Do you own this domain?
NO
Website Vision
Customer should be able to view services
Make Contact
Click on Social Media Accounts
u-haul
Controlled Reviews
Business Colors
No set Color
Business phone:
510-395-1481
Business email:
Logo File
AVAILABLE PACKAGES
Use this section to select the service option that works best for you. For more details on available options, visit our services page at www.efarley.com.
Design Level
Template Website - $199 Startup fee
No - I will use my exsisting email
Package
Starter Package - $99.99 monthly fee
Paid Ads
No - I do not need Social Media Ad Support
BILLING DETAILS
Use this section to update your billing preferences. If you select the invoice option, do not enter your card information. We will send your invoice to the email address you provided in section 1