ASA Web Services

Please complete this form in its entirety for a Web site created by the Automotive Service Association (ASA). Also, please include any photos, shop logos or map for use on this Web site. For the best reproduction, send originial or electronic artwork. Please also attach a list of shop services or additional information if needed. Your site will be posted in approximately 30 days after receipt of this form and payment of $495. After the approved site is online, ASA will make a monthly change as requested by the member.

GENERAL INFORMATION
Shop name:
Contact name:
Shop address:
City:
State:
Zip:
Phone:
Fax (published):
E-mail (published):
E-mail (for contact only):
DOMAIN REGISTRATION
ASA can assist you in setting up a domain name for your Web site. A domain name is what a site visitor types into a browser window in order to access your Web site. For example: www.mydomainname.com. Please check the appropriate box below:
Yes, please register a domain name for my shop (additional $12.95 per year).* No, please do not create a domain name for my shop. I already own one. ASA will contact you regarding your domain name if you choose our hosting option. If you selected "yes" above, please include a list of domain names, in order of preference, below. Please note that many domain names have already been purchased on the Internet. You must supply ASA with alternatives to your intial domain name. Or, to see if your preferred domain name is available, click here. The most popular domain name extensions are .com, .net, .org, .biz, .info, .us. Be sure to specify your preferred extension below. 1. www. (preferred) 2. www. (alternate) 3. www. (alternate) 4. www. (alternate) 5. www. (alternate) * Domain registration is conducted through Yahoo! Small Business. Your credit card will be charged by Yahoo!, not ASA.
HOSTING OPTIONS
ASA can host your Web site for as little as $10 per month. With the Basic hosting package, ASA can create up to 10 e-mail accounts for your shop at no extra charge. The Platinum package includes unlimited e-mail addresses. Both packages also include Web-based tracking software, allowing you to track important statistics about your site, including the number of visitors coming to your site. The hosting fee is applicable as long as you are a member in good standing. Please check the appropriate box below:
I would like to take advantage of ASA's hosting options. No thanks. I already have a hosting provider for my Web site. If you selected "yes" above, please select one of the options below: BASIC Web hosting option ($10 per month). * PLATINUM Web hosting option ($20 per month). * * Hosting options must be pre-paid based on your ASA anniversary date. For example, if the association begins hosting your site in January, and your membership is up for renewal in June, you will be charged $60 for hosting services. Upon renewal, you will be charged $120 for the next year of membership.
E-MAIL ADDRESSES
If you chose ASA's hosting package, ASA will create e-mail addresses for your shop at no extra charge. Please note that you do not have to create all e-mail accounts at this time. However, it is recommended that you create a "catch-all" account for your site (i.e. info@yourdomain.com). In creating e-mail addresses, please provide a unique username and password for each individual e-mail address. The password is case-sensitive. Your new e-mail address will be username@yourdomain.com. You will receive instructions on how to access your new accounts once your new site is active.
1. Username: Password:
2. Username: Password:
3. Username: Password:
4. Username: Password:
5. Username: Password:
6. Username: Password:
7. Username: Password:
8. Username: Password:
9. Username: Password:
10. Username: Password:

TEMPLATES

Please select the template for your Web site.

CUSTOMIZE YOUR TEMPLATE

You can customize the main photo on your site's home page. Please select from the following options.

ABOUT YOUR COMPANY

Year established:

Days of operation:

Hours of operation:
Warranties:
Certifications:
Business affiliations:
(Better Business Bureau
Chamber of Commerce, etc.)
Slogan:
Business philosophy:
Brief history:
ACCEPTED METHODS OF PAYMENT

American Express
Discover
Mastercard
Visa
90 Days Same as Cash
Debit
Check
Cash

SERVICES OFFERED

Please note - if your shop performs both mechanical and collision repairs, it is appropriate to complete both sections below.

MECHANICAL SHOPS - Please select the services your shop offers from the list below:

Air Conditioning Brakes Electrical

Emissions Alignments Lube Service

Engine Performance Engine Repair Steering

Drivetrain Exhaust

Other:

COLLISION SHOPS - Please select the services your shop offers from the list below:

Body Repair Painting & Refinishing Structural Repair

Other:

SCHEDULE AN APPOINTMENT

ASA can set up an e-mail appointment scheduler for your Web site at no extra charge. If you do not want to include an appointment scheduler on your site, this section will be replaced by a "Contact Us" section.

  Yes, please include an online appointment scheduler on my site.*
  No, do not include an online appointment scheduler. I would rather have a "Contact Us" section.
* Appointments will be scheduled on the hour from your shop's opening hour through 3 hours prior to close. However, ASA can customize your appointment scheduler to meet your needs. Please specify any special instructions below.
Special instructions:
Please provide the e-mail address you would like online appointments to be delivered to.

DIRECTIONS

Please provide easy-to-follow driving directions to your shop. Be sure to include major intersections or landmarks. This can be as simple as providing the following verbiage:

At the corner of ________________ and ________________.
Just a 1/2 block north of _____________________.
Right next door to _______________________.

Directions:
  Please include a map to our shop.

E-MAIL LIST

Creating an e-mail list of your customers is a good way to deliver specials, service reminders or your shop's newsletter direct to their inbox. ASA can create an opt-in form for your shop's Web site.
  Please create an e-mail opt-in form for our shop's Web site. *
  No thanks. Do not create an e-mail opt-in form for our site.
* Instructions on how to send out electronic news to your customers will be forwarded once the site is complete.

"ASK AN EXPERT"

Many innovative Web sites offer the ability for site visitors to ask questions pertaining to automotive repair or shop capabilities. Such a section adds credibility and professionalism to your shop. ASA can create a section on your site specifically for this purpose.
  Please create an "Ask an Expert" section for our site.
  No thanks. Do not create an "Ask an Expert" section for our site.

Please provide the e-mail address you would like inquiries to be delivered to.

ONLINE SPECIALS

Would you like to include an specials catered specifically to your site visitors? If so, please specify what you would like the special to include:

OTHER

Please specify any additional information you would like to include on your Web site.

PAYMENT FOR SERVICE

Please select your method of payment below:
American Express
Discover
MasterCard
Visa
Name on card:
Card number:
Expiration: