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Business Name (if any):
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Name:
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Address:
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City:
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State or Province:
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Zip:
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Country:
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Phone:
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Email:
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Type of website: |
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Business website
Non-profit
website (churches, charities,
sports organizations, clubs etc...)
Personal
website (resumes, weddings,
holidays, events, family, etc...)
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Your current site (if any):
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What services do you want?
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New website
Re-design current site
Add to current site
Re-design and add to current site
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Estimated number of pages (if known):
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What types of features would you
like? (shopping cart, guest book,
discussion forums, bulletin boards, mail forms,
calendars, surveys, etc...)
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Do you know of sites that are
similar to the type of design you want? What do
you like about them? What do you NOT want on your
site? (not required)
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What is your estimated budget (US
dollars)? (not necessary but helpful)
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Do you have a specific deadline
for the project? (If so please
specify a date.)
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Additional comments & questions:
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