form creator

*** Where it says "List five examples (URLs):" that means I want examples of the type of content etc you will put on your website. This could include layouts, pixels, adoptions, scribbles, blends, icons, etc. You CAN put more than five, by the way. I've just had a bit of confusion with this bit, so I thought I'd clarify.

~REVerse

Name:
Email Address:
Your current website URL (if you have one):
Your desired URL (you.pockybox.org):
What type of site will it be?:
List five examples of your work :*
Do you know FTP?:	Yes No
Do you know HTML and CSS?:	Yes No