Web Site Order Form

Information from this form will be used to set up your free Tripod web space account and for the construction of your web site. When a rough draft of your site is completed you will receive the url where it can be viewed. Any changes and/or additions my be requested at that time.

Contact Information

Your Full Name

Your Email Address

Street Address



Zip Code

Company Name

This Is A Karaoke:     Entertainment Company         Products Company


Web Site Information

Desired Web Site URL  as in mykaraokesite.tripod.com  (subject to availability)

Page Background Color (Text and Link colors will be set accordingly)  Color Chart

Do you have a logo image to be used on this page?     Yes       No

Paragraph(s) of text to be entered.

Contact Information to be entered. (Address, Phone Number, etc...)

Email address to be used in a mailto link.

Any other instructions or questions?


Feedback Form Information

Email address that form response is to be forwarded to.

Fields to be added to the form.
Name    Email Address    Phone Number    Web Site URL
Address (Street, City, State, Zip Code)    Text Area (For questions, comments, etc... )

Describe any additional fields to be added.

By submitting this form you are agreeing to have me set up a free web space account with Tripod (in your name) and to build you a single page web site, with a separate feedback form, to your specifications. You further agree to send me a check or money order in the amount of $40.00 U.S. when the site is completed to your satisfaction. Upon receiving the money order, or when the check clears, I will send you all the files used in your site and the password to your Tripod account. You can change the account password which will deny me any further access.