I hereby agree that this site may be set up by iCareUpdates subject to the Terms & Conditions of Use
1 Patient Surname
1 Patient First Name
Relationship to Patient
Estimated Time
Site Required
Reason for Site
9 Administration Password for Progress Reports
11 Administration Password for Guestbook
3 Picture Upload (we may alter picture to maximum of 256Kb to speed download)
Counter Style 01
Counter Style 03
Counter Style 00
Counter Style 02
Counter Style 04
Counter Style 05
Counter Style 07
Counter Style 06
Counter Style 08
6 Hospital Link (if required, this will be checked validity)
5 Please Choose Counter Style to Keep a record of the Number of Visitors to your site
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5
2 Top Main Page
Your Surname
Your First Name
Zipcode/Postcode
Country
Email Address
7 Centre Extra Details (if required)
10 Guestbook Label
to Guests
8 Progress Report Label
4 Side Main Page
Data to be Inserted on Web Site eg: ..1
3
2
4
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9
Data to be Inserted on Web Site eg: ..8
Extra Information or Questions (this will NOT be used on the web site set up unless specifically required)
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11
Do you want an Email sent to the above address when a message is left in the Guestbook
No Email Sent
Yes
Please list other email addresses for notification
If Other,
please Specify Reason
Please Tell Us how you found out about this Free Site
(Please make sure the file name is lower case eg: .jpg and NOT .JPG)
Request New Site
A FREE Website service to assist families during difficult times
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WARNING - Unfortunately, we have had some people create a site and we were not notified via email, so therefore nothing was done about it.  If we have not contacted you within 24 hours, please contact and inform us at info@icareupdates.com