Free Pro Website Request Form

Avenue Web Media offers free-of-charge non-profit web development and marketing services for non-profit organizations that focus on helping their communities. (For the details of this offer read more about our Free Pro Website program).

Please answer the following questions to help us learn about your organization and qualify you for this completely free service.

Even if you can't answer all the questions your organization may still qualify as we analyze every case individually; however, bear in mind that you must answer all questions thoroughly to ensure a reply from us.

If your organization doesn't qualify for this program we still offer free consulting to any non-profit organization and have other discount programs available.

Your personal information

Name: *

Your position in the organization: *

Phone number: *

Email address: *

About the Organization

Full name: *

Street address: *

City, state and zipcode: *

Phone number: *

Date of 501.3 incorporation : *

If the organization is not a 501.3 then please explain the current situation.

What does your organization do, and who does it help?:

How long has your organization been active, and what has your organization accomplished thus far in helping your community?:

What are your goals for the next 12 months?:

Please provide references of companies that have worked with your organization in the past:

Has your organization been in the media—television, radio or newspapers? If so, please elaborate:

About the Website

Does your organization have a main website, and you are a branch (or chapter, division, etc.) seeking your own website? :

If so, please explain why you need a separate website.

What kind of impact do you expect a website will have on your organization, and how would you describe your level of commitment in having a successful website?:

What features are you looking for in a website?:

If you already have a website, what changes would you like to make?

Will you have staff dedicated to the maintenance of your new website?:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What is the fifth word in the phrase "bigule gedemo uviwux cosaboh nahuwod"?: *

Free Pro Website Request Form

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