INFORMATION

First & Last Name:

Church Name:

Address:

City:

Province:
Alberta British Columbia Manitoba New Brunswick New Foundland / Labrador North West Territories Nova Scotia Nunivat Ontario Prince Edward Island Quebec Saskatewan Yukon Territories
Postal Code:

Email:

Church Phone:

Name Your Web Site:
EXAMPLE
www.IBOC.ca/ForestCityBaptist

If already taken we will notify you!

CHOOSE YOUR BANNER

Mountain Scene Banner

Harvest Wheat Banner

Waterfall Banner

Grazing Sheep Banner

Lighthouse Banner

AGREEMENT

I have read and understood the IBOC WEB SITE OFFER and would like to order a web site today.

I understand that the customized web banner and the six web pages are FREE and that the only cost is a $25.00 donation each year for web space.

I understand that the only additional charge will be for changes made to any of my web pages after it has been put on the internet. The cost for changes at that time will be $10.00 for the first page and $5.00 for each addtitional page changed at the same time. There would be no charge at any time for minor changes such as staff changes or contact information changes (address - phone - email)

I agree to send a cheque for $25.00 right away made payable to Forest City Baptist Church. to cover my first year subscription.

I understand that the web site will be up and running within one month of receipt of the cheque.

YES NO

Additional Informaton: