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Please Complete Info Request/Contact Form:
Web Services Needed:
Services
Create a new website
Redesign existing website
Refresh existing website
Add new features to my website
Website consulting services
Web hosting services
Web domain name services
Scheduled website maintenance/refresh services needed
Editorial services
Search engine optimization services
Email marketing services
Banner ads
Need a combination of services
Other
Other (please describe):
Graphic Design and/or Print Services Needed:
Print Services
Logo design services
Corporate image package
Business card design/print services
Brochure design/print services
Stationery design/print services
Flyers
Labels/barcode labels
Print advertising
Backlit/Duratrans advertising
Photo retouching
Vinyl banners
Banner stands
Need a combination of services
Other
Other (please describe):
Contact Information:
First Name:
Last Name:
Email Address:
Title/Position:
Company or Organization Name:
Existing Web Address:
Type of Business:
Street Address:
City:
State:
choose state:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone Number:
Fax Number:
Preferred Contact Method:
Email
Phone
Mail
Project Description / Details:
The following section is to help us better understand your project needs. Please provide as much detail as possible.
Project timeframe?
make selection:
Need to start ASAP
Within 1 month
Within 1-3 months
Within 3-6 months
Within 6-9 months
Have not set timeframe
Project budget?
make selection:
$100-$500
$500-$1,000
$1,000-$2,000
$2,000-$5,000
$5,000-$10,000
budget not established
# of pages:
# of supplied graphics:
# of supplied graphics: :: number of logos, photos & illustrations you will provide
Indicate desired interactive features: (check any that apply)
Rollover Buttons
Flash Intro
Banner Ads
Interactive Calendar
Online Shopping Cart
Contact Form
Feedback Form
Product Order Form
Site Search
Database Search
Online Blog
Online Maps
Other
List of websites you like (please include web addresses, features you like and why you like them):
Competitor websites (please list web addresses of your competition):
Additional notes or comments:
How did you find us?
Please make a selection:
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About.com
AllTheWeb.com
Alta Vista
AOL Netfind
Ask.com
Bing
Excite
Google
GoTo.com
Hot Bot
LookSmart
Lycos
MSN Search
MetaCrawler
Netscape Search
DMOZ Open Directory
Search.com
Yahoo!
Other Search Engine
-----------------------------
Word of mouth
Client referral
Link from a client's site
Link from another site
Other
Form Submission:
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