| *
Name |
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| *
Email |
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| *
Phone |
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| Company
Name |
|
| Company
Location/City |
|
Website
Info
|
*
What is the purpose of your web site?
(check all that apply) |
Establish an online presence
Provide information
Provide customer service
Offer a virtual community
Intranet/Extranet
Sell products/Ecommerce
Other (please specify)
|
| *
What type of web site design services are
you looking for? |
Design of a new site
Maintenance or upgrade of existing site
Other (please specify)
|
| *
Do you also need a logo or brochure design? |
Yes
No |
| *
When would you like the project to start? |
ASAP
In two weeks
In one month
In two months |
| Please
describe, in great detail, the intended focus
of this web site and any additional requirements
you may have (e.g. advanced features needed
such as streaming audio/video, database, secure
pages). |
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