Contact Name: |
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Email Address: |
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Phone and Ext: |
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Alternate/Cell Phone: |
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City: |
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Project Budget: |
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Current website (if applicable): |
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Project Title: |
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Project Summary: |
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Graphical Presentation |
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Approximately how many pages will your website have? |
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Type of website needed: |
Informational / Online Brochure
Marketing / Sales
Other
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Is the content for your site prepared? |
Yes
No |
Design Comments |
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Functionality Required: |
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Functionality Comments |
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Do you have a domain name already? |
Yes No |
What additional services are you interested in? |
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If you are interested in printing services, please specify: |
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Please provide the addresses of websites which you like and could serve as model(s) of you website: |
1.
2.
3.
4.
5.
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Production Timeline: |
I am ready to start now, launch website as soon as possible
I will be ready in the next month or so
I am not yet ready, shopping around for service and price |
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