| Your Name
* |
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| Your Email * |
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| Your Company Name |
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| Address: |
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| Telephone: |
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| Type of Business |
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| Do you need a new site or a redesign
of the existing site? * |
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| If this is a redesign, please include
the URL of your current site |
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| How many pages do you want your site
to include (approximately)? * |
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| Do you need a logo? * |
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| Would you like Flash animation on
your site? * |
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| Do you have texts (content) for your
website? * |
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| Would you like us to host your website? |
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| Would you like us to promote your
site afterwards? |
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| What's the budget for your website
project? |
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| Will
you need website maintenance (changes/updates made
on a regular basis)? |
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| Which of the following elements would
you like to be included? (Check all that apply) |
Visitor response form
Shopping cart
Integration with a payment system
Merchant account
Guestbook
Discussion board
Database
Password-protected area |
| Please give the details about the
type of the website you'd like designed |
|