low-cost web hosting for nonprofits and civic groups

Part 1: Your organization
Current URL
Organization name
Organization mailing address	Number and Street City State Zipcode

Part 2 - How to contact you
Contact name	first last
Contact email
Contact daytime phone area code phone number ext.

Part 3 - Determing a low and fair price
Nonprofit status 501(c)(3) 501(c)(6) (member/dues) Not nonprofit Other If other, please specify
Current funding for your organization comes from: (Why? To help us determine a fair and low price for your Web hosting.)
(check as many as apply) Fundraising Dues Grants Other If "other," please specify
Is your organization primarily religious or faith-based? Yes No (Why? We don't discriminate; used for figuring fair and low Web-hosting prices)

Part 4 - Transfer Web site and domain
Who can provide information about dour domain registration (if you have your own domain)? First name Last name Email
Who does your Web site updates and edits? First name Last name Email
Would you like to be contacted about Web design services ( nonprofit pricing)? Yes No
Questions or comments?
We'll be in touch with you soon.

PO Box 41163
Greensboro NC 27404

T / 336-852-4321
F/ 336-852-3604

Part 1: Your organization