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CONTACT INFORMATION
* COMPANY
* CONTACT NAME / TITLE  
* PHONE NUMBER
* E-MAIL ADDRESS
BEST TIME FOR US TO CONTACT YOU
OFFER CODE
 
YOUR CURRENT WEB DESIGNER
I don't have one yet.
I have one, but they are not responsive to my needs.
I am shopping for a local web team.
I am shopping for prices only.
I am shopping for service.
 
PURPOSE OF SITE (select all that apply)
Give brochure type information to my visitors.
I would like to expand my client base.
I would like to direct customers to our storefront.
I want to sell my products online.
I have a site already, and I need to update and add new features to it.
 
DOMAIN NAME
If you do not have a web site, we will need to know what domain name you would like to register. (We will not register any domain name until we have contacted you)

The Domain Name I would like to use is:
 
BUDGET FOR YOUR SITE
We tailor each site around what your needs are. Please let us know what you are expecting to invest into a web site and we will let you know the kind of site we can provide for you based on your budget.

I'm not sure, I'll need more information.
Less than $1000
$1000 - $2500
$2500 - $4000
$4000 - $7500
Above $7500
 
TIMELINE FOR THIS PROJECT
Depending on the complexity of the web site, we have been able to have a site turned on in 2 days. Typically the average site can take from 3 - 5 weeks.

I need my site online now.
I am actively pursuing a web developer to begin in the next week or two.
Our company is ready, but it will still be a month or so before we are ready.
Just doing some research for a future project.
 
AND FINALLY . . .
Please select the type of site you want us to design.

Business
High Tech
Fun
Religious
Non-Profit
Personal
Political
 
ADDITIONAL COMMENTS
If you have any additional questions or comments, please let us know.