Mini Site Application

Please fill in this form if you wish to apply for a website at Shrop.NET.

Please fill in as much of the following form as you can, this allows us to process your application as efficiently as possible. Fields marked with a '*' are required.

Organisation, group or event name *:
	This is name of the organisation, group or event on whose behalf you are applying for a website. If you are not applying on behalf of an organisation etc then this is the purpose/function of the website or the person applying for a website e.g. Councillor First-name Last-name
Mini Site Name *:
Mini Site Alias *:	http://www.2shrop.net/
	This is the name that users will type into find your website. For example - if you enter 'mobilelibrary' as the alias, you will be able to access your site at 'http://www.2shrop.net/mobilelibrary'
About you	This information will not appear on the internet. The name and contact details for the person who will be responsible for the website. This is the person we will contact if there are any changes to ShropNET and the way it works or if there are problems with the mini-site.
Title:
Forename(s) *:
Middle Initial(s):
Surname *:
Suffix:
Your address:
Your telephone number:
Your e-mail address *:
Website contact details	This information will appear on your mini-site. It will be used for your "Contact us" page. This page can be changed as required.
Contact name *:
Your address:
Contact telephone:
Contact email *:
About your organisation / website:
	This is a brief introduction to the purpose of your mini-site and could include its role or aims e.g. 'We are a developing sports club based in Shropshire and train on Friday evenings at the local community centre. We have 3 qualified coaches and welcome players of all abilities. This year we will also enter 3 teams in the county league at; U11, U14 and U16 age' This will become your "About us" page. (this page can be changed as required)
Organisation / website area	This is the geographical area that your website will cover. This information will assist users in locating services in a particular area.
District *
Your Organisation's postcode *:
Categorise your website	This helps people locate the correct website by giving them information about the content of your mini-site.
Select a category
Type yes to accept our Terms and Conditions: