Application for Web Service from The Private Investigators Mall (sm). Fields marked with a * are required...
 
General Information

* First Name:  
* Last Name:   
* Company:  
* Address:  

* City:

  

* State:

  
* E-mail:  
* Company Phone:  --
Company Fax:  --
   
For Hosting (PIMall hosts your site as well as linking it)

 Provide the name you have ALREADY registered with Network Solutions or another website registrar

Website URL:  
   

 Do you need your website created?  

 Yes No
 

 If you need your website created, please select up to 5 email addresses to use
   
Email 1:
Email 2:
Email 3:
Email 4:
Email 5:
   
Do you want Anti-Spam protection turned on?  Yes No
 

 If you need your website hosted, and would like to have FTP access to your account, please provide
 us with an FTP account name (for uploading your pages)
   
FTP Account Name Desired:  
   
For Links Only (Your site is already designed and hosted by another, you would like a link inside the PI Mall)
 
Website URL:  
E-mail Address:  
Section To Be In: PI     INFO-BROKER    PI STORE 
   
Website Keywords
 

Keyword 1:

  

Keyword 2:

  

Keyword 3:

  

Keyword 4:

  

Keyword 5:

  
   
States You Are Licensed In
 

State 1:

  

State 2:

  

State 3:

  

State 4:

  

State 5:

  
   
Search Engine Optimization (rank higher in search engines)
 

Would you like to be contacted about improving your ranking in the major search engines?

 Yes No
   
Contact Information
 
Phone Number:  --
E-mail:  
NAIS Number:    
   
PI Mall Mailing List
 

Do you wish to be added to the following mailing lists?
PI Mall Alerts: Yes No
PI Classroom: Yes No
NAIS Alerts/Updates: Yes No
Security Alerts: Yes No
   

Email Address To Send Alerts To: