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Please provide us the following information so we can customize a quote for your business.  Your information will not be sold and will remain private. Make sure to provide us with as much information as possible.

   

 CONTACT INFORMATION :  (* Required field)

 
      
  First Name
*

Last Name

  City
  Zip
  State
  Cell
  E-mail *
  Preferred method of contact
v
 
  WEB SITE INFORMATION : (Optional)  
 
 

 

 
 

1

Type of services do you need?
    Create a new site
    Re-design an exiting site, what is your URL or web address.
   
   

Domains

   

Hosting

   

Maintenance

   

Web Venture Capitalist

    Web Site update services
     
 

2

What types of site do you need?
    Business
    non-profit organization
    informative
    personal homepage
 

 

 
 

3

Have you visited a site/s that you like, if yes please provide the URL or web address for those sites
   
     
 

4

What is your objectives and goals for your site?
   
     
 

5

Who is your demographic audience?
   
     
 

6a

Do you wish to include your logo?
    Yes
    No
     
 

6b

If yes, is it available in digital format (.JPG, .GIF, .TIF) ?
    Yes, available in digital format
    No, need to scan
     
 

7

Please Select the main pages for your site.
   
About Us (Home) Products
Services Pricing
Sitemap Map Locator
Testimonials Order Form
News Link Page
Contact FAQ
Other  
   
 

 

 
    If, Other please describe, how many pages
   
 

 

 
 

8

Please select features or effects you would like on your website.
   
Rollover Effects PDF
Video Clips Audio
Slide Shows Form Mail
Guest Book Others
   
 

 

 
 

9

If, Other please describe
   
     
 

 

 
 

10

Who is your Web Hosting Company, if any?
   
     
 

11

Do you have a Domain Name? If, yes please provide us the information.
   
     
 

12

If you have additional information or ideas to share with us, please provide this information below:

 

 

   
     
 

13

How often will you update your web site?

   

Weekly

Bi-weekly

Monthly

Quarterly

Once a year

         
         
 

14

Who will update the site?

   

I will handle the updates of my site.

   

I have someone who will do the updates for me.

   

I need someone to update my site.

     
 

15

How did you find us?
   

 

 

   

Thank you for taking the time to complete this questionnaire.  Within next couple of days our business consultant will contact you with regards to your inquiry.

 
              
 

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