WordPress Website Theme and Ebook Package Order Form

Congratulations on the start of your new venture. In order to get going, you will need to complete the following form. It is important that all fields be completed with as much detail as possible.

Once you have submitted the following order form, payment is required for the work to begin. You will receive a proof of your WordPress Website package and images. If at that time you require any changes, simply let us know. This will be your opportunity to make adjustments to your order.

PLEASE NOTE: You’re package entitles you to 2 revisions. So please fill out this order form with as much detail as possible. Further revisions will be subject to additional charges.

First Name

Last Name


Website Address

Referred By


Choose Book Style

Hardcover Open

Hardcover Closed

Paperback 1

Paperback 2

Spiral Bound


Book Title Exactly how you would like it to appear on the Ebook Cover.

Book Subtitle Exactly how you would like it to appear on the Ebook Cover.

Author’s Name

Other Information required on Book Cover
Please describe your business and/or your target audience:
This information will let us design an Ebook Cover that best suits your business model

Color Palette Preferences?
(Enter the name(s) of the palette(s)you prefer)



Domain name:


This website address should already be registered. If you haven’t registered a domain name yet, Click Here to do this with Godaddy.com right now. It is important that your website address be secured before beginning the design process for your site.
Title of website
Enter the Title exactly how you would like it to display at the top of your website, we use this for creating your header image . ie. Help your Kid Get Straight A’s
Subtitle of website
Enter the Subtitle exactly how you would like it to display at the top of your website, we also use this for creating your header image . ie. Complete with Tips from America’s Top Teachers


After you complete this form you will have the opportunity to upload the image(s) you would like us to use in your design.

We recommend the following sites for images:





Choose Paypal Button style:

Buy Now Left

Buy Now Right

Buy Now Button Text:


Website Navigation Menu: Your website comes with 5 different pages. What are the names of the 5 content pages you would like..
If you need more than the above 5 content pages simply list these in the More Details box below.

Choose Website layout:

Left Column

Right Column

Three Column

Website Width: Standard website width is 800pixels wide. If you would like your website to be wider than this, please choose a different size below.

Websites you like: Please list any 3 websites that you like the color or style of. Our designers will take this into consideration when creating your website.

Newsletter and Opt-In:

This is where visitors to your website will be invited to receive ‘more information’ on your product or service. To entice them to “Opt-in” you offer something they want such as a newsletter. free report, contest, etc. This offer will go in the left column.

What is your Opt In Offer?

Button Text:
Are there any other details you would like us to know before we start your Ebook Cover, Website images and design?