::Contact
Information |
*First
Name |
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*Last
Name: |
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*Phone
Number: |
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*Email
Address: |
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*Company
Name: |
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Please contact me via: |
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Current Web site (if any): |
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| ::Project
Scope (web site construction) |
How many pages total do you
estimate for your site? |
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Do you have a hosting provider? |
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What is your approximate budget
for this project |
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| ::Your
Goals (web site construction) |
What is the primary
objective of your new site?
(for example: take reservations, sell products,
inform customers, etc.) |
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Brief description of what you would like your site to look
like
(for example, company colors, clean design, clear navigation,
etc.) |
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Web addresses of other sites
you like (1) |
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(2) |
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(3) |
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I will consider my new site a success if: |
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What is the goal date to launch
your new site? |
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| ::Questions - Comments |
Please let us
know if you have any questions or comments that were not addressed
in this form: |
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