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Request Form

Please use this form to submit requests for your website. This is a free service offered by eBiz-U. Make sure to enter all information carefully and completely so that there are no problems or delays with your request. All requests are fulfilled manually by our staff in the order they are received.

Please limit requests to no more than 5 per day, or 5 items in one request.
Requests over this limit may be deleted so you will need to resubmit.
Thank you for your cooperation in keeping this a free design service.
 

Account and Website Information

Account Name:

Email Address:

Domain Name:

(Example: www.yourstore.com)

Site Name:

Request Details

Fill in the details of your request below. In some cases we may need to modify the location of your request so that your site will continue to operate properly, but most requests can be granted without problem.

What page for request?

Only one page per request please.
 

Details for Request and Location on page:
Explain what you would like here. Please be specific, for example: "Right side below...", "Bottom center above...".

   

Text or HTML code for request:
It is very important that you check the code or text that you send to us to make sure it is complete and correct. The request will be formatted to fit the style of your website.

Opens a new window to show the results of the code. The preview will not work with all code, but it should with most.
   

Attach Image or File:
(If applicable)

 

When attaching images that relate to any HTML code above, please make sure it has the same file name and that you did not change it (such as when saving from Amazon for example). This will help avoid delays in your request.

How soon do you need it?

Express Request - fulfilled within 24 hours.
$10 fee per request.(Payment instructions will follow on next screen.)

Standard Request - fulfilled within 5-7 business days.
No charge per request.

Click the button above to submit your request.
You should see a confirmation page following this.

 

 
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eBiz-U is a Better Business Bureau certified company specializing in Internet business, e-commerce, online stores, web based business, web design, selling products online, business opportunities, online business, business web hosting, affiliate programs, and products to sell online.