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Contact Information  
   
Business Name
Contact Name
Telephone
Email
Country:
 
Website Details  
   
What is your estimated budget for this project?   
What type of site are you interested in? (please check all that apply) Informational
E-Commerce
Database Enabled
Flash Design
   
What Your Company Does  
   
Please describe your services, products, and your target audience
Do you need a new logo or do you already have one?
Is this a new site or a revamp of a current one? (*Give site address if you have one) Brand New Site
Revamp Current Site, which is at:
 
   
 
Required Website features  
   
   
Advanced Database Features Flash Content
Interactive Content Database Programming
Online Credit Card Processing Shopping Cart
Search Capabilities Graphic Design
Web Site Maintenance Streaming Audio/Video
Name Registration Cross-Platform CD-ROM
Web Hosting CD Duplication
   
How many pages do you expect you'll need?   
Briefly describe the web site project you are envisioning  
When do you require our services ?   
List any sites that are similar to what you are envisioning (the more the better)  
Please check the most appropriate box pertaining to your web hosting situation
(domain name = www.yoursite.com)
I own my domain name and have hosting
I own my domain name and need hosting
I need my domain transferred to a new host
I do not have a domain name or a host
I do not know
Other
Is there anything else we need to know? Any special instructions or comments?  
How did you hear about us?  
 
 
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