Please Complete Information Request / Contact Form
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Services Required?
Please make a selection
Create a new website
Redesign-refresh an existing website
Website maintenance/refresh services
Logo design services
Print design services
Web hosting services
Editorial services
Search engine optimization services
Need a combination of services
Other
*
Contact Person -
First Name:
*
Last Name:
Company:
Title:
Existing Web site:
* Type of
business:
(Ex.: Service, Retail, etc.)
* Email:
Address:
City:
State:
Zip Code:
*
Phone:
Extension:
Fax:
How did you
find us?
Please make a selection
About.com
AllTheWeb.com
Alta Vista
AOL Netfind
Ask.com
Excite
Google
GoTo.com
Hot Bot
LookSmart
Lycos
MSN Search
MetaCrawler
Netscape Search
DMOZ Open Directory
Search.com
Yahoo!
Other Search Engine
------------------------
Word of mouth
Client referral
Link from a client's site
Link from another site
Other
Project Description / Details
The following section is to help us better understand your project needs. Please provide as much detail as possible.
Project timeframe?
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Need to start ASAP
Starting within a month
Starting 1-3 months
Starting 3-6 months
Starting 6-12 months
Just getting information - no timeframe
Web project
budget range?
Please make a selection
$100 - $500
$500 - $1,000
$1,000 - $2,000
$2,000 - $5,000
$5,000 - $10,000
Above $10,000
Budget not established yet
# of pages:
(300-350 words or less per page)
# supplied graphics:
(logos, photos & illustrations you will provide)
Indicate desired
interactive features:
Rollover Buttons:
Flash Intro:
Banner Ads:
Online Shopping:
Contact Form:
Feedback Form:
Site Search:
Database Search:
Online Maps:
Chat Room:
Online Blog:
Bulletin Board Forum:
Other:
(check any that apply)
Sample
Websites
you like
and why:
Additional
Comments
or Notes:
Preferred
Contact Method:
email:
phone:
fax:
mail:
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