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E-Commerce - #1

E-Commerce - #2



Web Page



Web Site

Fine Tune Your Site

Web Site Maintenance

Logo Design

Graphic Design

Corporate Quote Request

Contact Us




E-Mail:

Size:
One Web Page
Web Site (Two or more pages)
    Number of Pages Needed

Web Site Topic/Title:

Logo: Do you have a logo?

Yes
No, but I will create my own
No, create one for me


Web Page/Site Description:

Please give a detailed description of the type of web page
or site that you need [e-commerce, family page(s), etc.]


Host:

Do you have a web page/site host?

Yes
No

If no, would you like:
A free web host setup for you?
A premium web host setup for you?

Graphics: Do you have graphics that you want on your page or site?

Yes*
No, I need you to create graphics

*Your web site consultant will request photographs, product images, logo designs, and other graphics in a .zip file before work begins on your site.

Color Scheme: Do you have a color scheme preference?

No
Yes   List 2 or 3 colors, separated by commas

Miscellaneous Items: (Check all that apply)

Message Board
Guestbook
Counter
Form(s)
Java Scripts and/or Applets
Background Music
Other, please specify:

(Additional charges for miscellaneous items.  Your web consultant
will determine cost based on your requirements.)

Deadline:

No, but as soon as possible.
Yes, I need this page/site by date.


Personal Contact Information

Title:

Ms.
Mrs.
Mr.

First Name:

Last Name:



Address:

City:

State or Province:

ZIP or Postal Code:

Country:





Daytime Phone:

Evening Phone:





Alternate Contact:
(If applicable)


Full Name:

Phone Number:




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