WestUSA Realty Website Purchase GET STARTED Upgrade your current website or sign up for a new paid website. Contact InformationName* First Last Phone*Email* MLS member ID* Region / MLS*Please ChooseFlagstaff (NAAR)Payson (CABOR)Phoenix (ARMLS)Prescott (PAAR)White Mountains (WMAR)Website InformationChoose a Package*New Agent Theme - $128.99Gold - Cielo Theme - $498Gold - Denali Theme - $498Gold - Jinger Theme - $498Gold - Mont Blanc Theme - $498Gold - Olympus Theme - $498Gold - Pinnacle Theme - $498Gold - Prime Theme - $498Gold - Rainier Theme - $498Platinum - Bianco Theme - $698Platinum - Capitan Theme - $698Platinum - Regal Theme - $698Platinum - Viso Theme - $698Platinum - PeakPlatinum - PalisadesPlatinum - VictoriaIncludes setup fee and first monthFacebook URL Instagram URL LinkedIn URL Twitter URL Youtube URL LogoAccepted file types: jpg, gif, png, Max. file size: 59 MB.Personalized/Team logo to be included in the website banner. This is ideally a transparent PNG.HeadshotAccepted file types: jpg, gif, png, Max. file size: 59 MB.A small headshot image for the top of your website. Please submit a JPG.HiddenTagline BioDomain InformationWhat is the Domain (URL) we'll be using for your site? If you don't have a domain name please purchase one here: http://domainwithresults.com/ and enter it above.Registrar Where did you buy your domain name? Ex: Godaddy, Network Solutions.Registrar Username Username to where you purchased your domain nameRegistrar Password Password to where you purchased your domain nameBilling InformationBilling Name* First Last Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment Agreement* I Agree Unless otherwise stated herein, you understand that by completing this form a charge to your credit card will be ran for the initial upfront payment and your monthly payments (as described above) will start 30 days from completing this form.Total $0.00 This is the amount that will charge once this form is complete. This amount should reflect your initial set up fee and first month of service if applicable.