Services Agreement Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Description To establish an agreement for services, please fill out this form checking the services you would like me to provide, and click the acceptance checkbox before submitting the form. I’ll be in contact with you with further information about what’s needed to get started. For complete information on the services I provide, visit the Services Page. Name *FirstLastPhoneAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeServices WantedBasic Website Design ($299)Migrate Existing Site ($499)WordPress Site Tuneup ($199)Monthly Site Maintenance ($19/month)Custom Site EstimateTechnology Coaching (see Services)Check all services you wish to establish and I’ll set up an account and login for you. I agree to receive the indicated services99039