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** All fields are required |
1 |
Your Full Name: |
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2. |
Your Company Name: |
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3. |
Your City Location: |
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4. |
Your Telephone Number: |
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5. |
Your E-Mail: |
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6. |
What type of services or products do you offer? |
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7. |
What do you expect to accomplish with your web site? |
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8. |
Do you have a company Logo? |
Yes |
No |
9. |
If not, are you interested in having one professionally created? |
Yes, I would be interested |
No, Thanks |
10. |
Do you have an outline of the content for your site? |
Yes |
No |
Working on it now |
11. |
If so, how many pages do you estimate it to be? |
10 - 20 |
21 - 35 |
35 - 50 |
51+ |
12. |
Would you be interested in having your web site professionally edited by an Editor? |
Yes, I would be interested |
No, Thanks |
13. |
Will you be selling products online? |
Yes |
No |
14. |
If so, how many products do you estimate it will be? |
N/A |
10 - 20 |
21 - 35 |
35 - 50
51+ |
15. |
Will you be providing your own photos for your website? |
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16. |
If not, are you interested in having a professional photographer take your photos. |
Yes, I would be interested |
No, Thanks |
17. |
How did you hear about us?:
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18. |
Comments or Questions: |
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Send me a copy of this message.
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