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One-Page Starter Site Order Form

Use this secure form to order your fully-installed, customized, Flex Electrology Practice one-page starter website for $49 (one-time to Hammer Data Systems) plus standard hosting fees (paid to Hostmonster, our preferred hosting company).

Flex themes incorporate the real-person beauty characteristic of the new American Electrology Association campaign to establish electrology as a 21st century brand. The responsive layout adapts to full-sizes screens, tablets, and phones. The design uses a modern, "flat glass" style that is visually appealing while retaining the color scheme you use for your practice. Flex comes with a secure Settings page where you can easily make changes to your site.

Flex Starter Sites include:

Please note that these Starter sites are meant to provide you with a domain name that you control and a very basic web presence. One page is not likely to have a significant effect on your search engine rankings other than the effect gained by being considered more "legitimate."

We will use the information you provide to do the initial setup and customization of your site. Any of this information can be changed or added at any time, if you don't want to list it now. If you need help with this form or want to place your order by telephone, please feel free to call us at 330-527-4018 or to email us.

Site Information
The domain name is your website address. It cannot contain any spaces or special characters like slashes. Example: MyElectrolysisPractice.com


If you choose Custom, please use the Comments field to tell us what colors you like.


Your Practice Information
If Yes, we will use this information to set up your locations, modalities, etc. Otherwise, we will contact you for this information.





Contact Us Information

About Us Information
Page Text

Option 1

If you feel that excess facial or body hair is concealing your potential, there is a way to get the hair-free look you deserve. Electrolysis - safe, permanent hair removal - can reveal the full extent of your natural beauty. You will love the smooth, healthy look you can achieve with electrolysis.

[YOUR PRACTICE NAME] is dedicated to helping you maintain the smooth-skinned, perfectly groomed look you deserve. When you look your best, you get the best out of life. With professional electrolysis treatments, you can take control of unwanted hair and let your beautiful skin shine through.

Electrolysis is the only method approved by the FDA to call itself permanent hair removal.

Option 2

Do you feel like you are alone in your battle against unwanted hair? Think again!

Every day, people just like you turn to electrolysis - the only method approved by the FDA to call itself permanent hair removal - to free themselves from the embarrassment of unwanted hair.

No matter what the specific problem area, age, gender, hair or skin type, hair color or skin color - [YOUR PRACTICE NAME] can help. If unwanted hair is the problem, electrolysis is the solution.

Option 3

Do you think you're stuck with unwanted hair? Think again!

Electrolysis is the only method of hair removal proven safe, effective, and permanent for all skin and hair types. If you feel that excess facial or body hair is holding you back, electrolysis treatments from [YOUR PRACTICE NAME] can give you the hair-free skin you deserve. You will love the smooth, healthy look you can achieve with electrolysis.

Electrolysis is the only method approved by the FDA to call itself permanent hair removal.


This text can be edited later, if you decide you want to change it.
Optional Extras

Please select any of the optional extra items or services below that you would like to have added to your site. We will contact you for any additional information that may be required to complete your request.


Hosting Options

These options affect how we set up your hosting package. All fees from these options are paid to the hosting company, not to Hammer Data Systems.

This locks in the introductory monthly rate for three years instead of only one year.
This keeps your contact information private and reduces spam.
Billing/Contact Information

Please enter information as it appears on your credit card billing statement.












Credit Card Information


Comments and Additional Information
Terms and Agreements

I understand that by submitting this order form, I agree to the following:

* I agree to the above terms

Note: Your credit card will not be charged by submitting this order. We will confirm your eligibility for your selected theme and contact you with regard to any optional extras you have selected before charging your credit card.


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These website packages have been authorized by the American Electrology Association and are available exclusively to AEA Members. Not a member? Join the American Electrology Association today!