Godfrey Pembroke Website ApplicationFirst name*Last name*Phone*Mobile phone*Please note this is required to set up Google Analytics reporting for your new website.Email* Confirm the website package you require*Godfrey Pembroke branded adviser website packageGodfrey Pembroke co-branded adviser website packageGodfrey Pembroke co-branded upgrade from existing siteSelect your chosen theme for your site*GPL Branded Theme 1GPL Branded Theme 2GPL Branded Theme 3Provide your practice indentifier to set up the URL for the website*Godfrey Pembroke have registered the domain name gpadviser.com.au for this project, and will provide you with a URL incorporating your practice identifier for the website. The practice identifer naming conventions are outlined below. They should be used in the order specified where possible. For SEO and branding purposes, we recommend that you use the shortest possible practice identifer. Option 1: Suburb (e.g. http://gpadviser.com.au/chatswood-central) Option 2: Suburb and Adviser Name (e.g. http://gpadviser.com.au/north-sydney-richard-scott-henshall)Provide your brand name to set up the URL for the website*Godfrey Pembroke have registered the domain name gpadviser.com.au for this project, and will provide you with a URL incorporating your brand name for the website. (e.g. http://gpadviser.com.au/brand-name) For SEO and branding purposes, we recommend that you use the shortest possible brand name.Do you want to enable a stocker ticker on your site?*Yes - enable stock tickerNo - do not enable stock tickerWe can enable the stock ticker plugin to display on your site, as is shown in the template demos. The stock ticker will display ASX200 (index), All Ords (index), S&P500 (index), DJIA (index), FTSE100 (index), NIKKEI (index), NASDAQ (index) and the ASX top 20. The stock ticker option is available free of charge.Confirm your street address to be displayed on the site* Street Address City State / Province / Region ZIP / Postal Code Do you want to display your postal address on the site?*YesNoConfirm your postal address to be displayed on the site Street Address City State / Province / Region ZIP / Postal Code Confirm your phone number to be displayed on the site*Confirm your fax number to be displayed on the siteConfirm your general enquiry email address* Confirm your legal entity name and ACN/ABN*Please note this will be incorporated into the Advice Warning, and must be your full legal entity name, including your ACN or ABNSelect the images you wish to use in the main image slider* Beach fishing (BEACH-FISHING.JPG) Boules (BOULES.JPG) Fly fishing (FLY-FISHING.JPG) Horse riding (HORSE-RIDING.JPG) Man & dog (MAN-DOG.JPG) Couple picnicing (PICNIC.JPG) Polar adventure (POLAR-ADVENTURE.JPG) Man relaxing by pool (RELAXING-POOL.JPG) Man on sailing boat (SAILING.JPG) Skiing (SKIING.JPG) Couple in evening dress (SPECIAL-OCCASION.JPG) Couple walking through vineyard (VINEYARD.JPG)We have prepared an image gallery with a range of stock images available for use on your website. You can view the gallery here (simply click on each image to view full size). We recommend a minimum of two images, and a maximum of four images for this position.Payment Options*Process online with a credit cardRequest an invoice to be sent via emailWe charge a $35 fee for credit card processingTotal Investment (including GST) $ 0.00 Credit Card*MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Terms and Conditions* I have read and agree to the terms and conditions This iframe contains the logic required to handle Ajax powered Gravity Forms.