Queen Village Family Dentistry

Create a Prepaid Account

When you complete the form below, you will be charged a one-time $25 setup fee, and your account will be immediately established. You can sign in with your username (email address) and the password you set below. If you are not currently hosting a website with us, a monthly recurring subscription of $25 will be placed on your credit card; you will be automatically charged this fee one month from today, and each subsequent month until you cancel.

Setup Fee: $25 | Monthly Rate: $25 (no monthly fee for hosting clients)

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Website(Required)

Password(Required)

Enter Password Confirm Password

Strength indicator

Do you host your website with us?(Required)

All new Accounts have a one-time $25 setup fee. If you currently host your website with us, there is no additional monthly fee for this service. If you host your website someplace else, a there is a $25 monthly fee.

Yes, I host my website with Hoppel Design.

No, I host my website someplace else.

Account Setup Fee(Required)

Price:

Recurring Monthly Fee(Required)

Price:

Credit Card

Card Details

Cardholder Name

Pricing Quote Request

We are happy to send out free, detailed pricing quotes for any project. Please fill out the form below, so we start the conversation. We typically respond within 1 to 2 business days.

Category(Required)

Please check all that apply:

I need a new website.

I need a new logo or other graphic.

I need to host my website.

I need to fix my website.

I need to audit my website.

I need something else.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Company

Website

Phone Number

Your Message(Required)

Tell us a little about your project:

Consent(Required)

This form will collect your name and email so that only Hoppel Design can respond to your request. For more detail on where, how, and why we store your data, check our privacy policies. If you consent to Hoppel Design taking your name and contact information so that we can respond to you, please tick to confirm:

I Consent(Required)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.