Organization Contact Update

Services Requested

We Need Website Design & Hosting

FireRescue TV In-Station Digital Display Boards ( What is this?)

Fund drive, online billing, raffle sales, marketing

Organization Information

Organization Name *

Street Address *

City *

State *

Zip *

Organization Phone *

Fax

Contact Information

First Name *

Last Name *

Title

Email Address *

Mobile Number

Daytime Number

Alternate Contact Details

First Name

Last Name

Email Address

Contact Number

Treasurer or Accountant Contact Information & Billing Information

First Name of Treasurer or Accountant *

Last Name *

Email Address *

Contact Number

We Wish To Be Billed *

Monthly

Quarterly

Yearly

Social Media Accounts & Online Donations

NOTE: To stream your Social Media accounts please visit FireCompanies.com/SocialMedia and provided us with the connection keys for each. Link opens in new window.

Facebook Address

Twitter Address

Instagram Addresss

YouTube Address

We Would Like To Accept Online Donation With Our Paypal Account

Email for Your Organization

Does Your Organization Require Email Accounts

No, we already have email or do not need it

Yes, we require basic email and understand this counts towards our data storage space, unlimited email accounts & forwarders included with all packages

If You Require Email Is Your Organization a 501C3

Yes, we would like to petition for FREE Gmail

No, we will use the FireCompanies.com option

Domain Name Details

Current Domain Name

If your domain name is with GoDaddy, you can give FireCompanies delegate access to the domain so we can make the changes for you. Here are the instructions on how to do this.

If You Do Not Have a Current Domain Name List Your Preferences

Second Domain Choice

Website Design Specs

Additional Services

Stream Facebook & Instagram To Our Site - FREE

Event Calendar - Additional $9.99 Per Month

Rental Manager - Additional $9.99 Per Month

File Manager - Additional $9.99 Per Month

Member's Only Area - FREE With Any of The Additional Services

Free Online Membership Application

Embed your Google Forms, Run Sheets, Calendar

ADA Compliance

ADA WCAG 2.2 - While our websites come with an ADA tool on the website for visitors with disabilities you can also opt for a third party service we offer that will get your website within 95% - 100% compliance of ADA WCAG 2.2. AllAccessible scans sites to WCAG 2.2 standards and actively remediates accessibility issues for visitors. This service is an additional $15.99 per month. This is not required by all state and local governments. - Additional $15.99 Per Month

Your Preferred Layout (Click the links for examples) *

Old School - Progress Fire Company

Boxed - Crabtree Fire Department

Professional Design - Great layout for fire service professionals ChiefLasky.com

Billboard Design - Departments that are looking for recruitment & retention

Clean Design - Bloomingdale Fire Department District #1

Video Header with your supplied video - Throop Fire

Other: We want our site to look like this oneOther: We want our site to look like this one

Color 1 *

Color 2 *

Color 3 *

Banner Design Specs

How Would You Like Your Organization's Name Appear? *

Organization Motto

Additional Text

Image For The Banner Design

Maximum file size: 268.44MB

Image For The Banner Design

Maximum file size: 268.44MB

Image For The Banner Design

Maximum file size: 268.44MB

Image For The Banner Design

Maximum file size: 268.44MB

Information Needed For MCS Alerting

FireRescue TV Digital Display

Number of boxes requested. One box at one physical location can service multiple monitors.

Additional Notes

Organization Contact Update