| * Contact Full Name: |
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| * Company Name: |
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| * E-mail Address: |
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| Phone Number: |
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| ICQ Number: |
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| Contact me by: |
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| If you have chosen one of our website packages please select it. |
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| Pre-existing Site URL: |
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| * Approximate number of pages: |
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| * What is your timeline for developement: |
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| Would you like us to create a new logo or use the old one: |
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| Do you have recent images, advertising material, or print material available? |
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| Have you prepared all of the text content for the site? |
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| Will you require an online shopping cart? |
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| Please give a thorough description of the type of site you need and its purpose: |
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| Do you have a domain name you would like to use, or will you need us to register one for you? |
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| What features do you want on your site? |
Database
Guestbook
Bulletin Board
Email Form
Flash Intro Page
Describe:
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| If you have seen any other sites which have the same functions that you want on your site, please note them below. |
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| Have you seen any other sites you like the look of? If so, please include the site URLs and specifically what you like about them below. |
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