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Contact Information
*Name:
*Email:
*Phone:
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Budget:
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under $500
$500-$1,000
$1,000-$5,000
$5,000 Plus
*Project Description:
Additional Information
Company Name:
City:
State/Province:
Country:
Your current website (if any):
*Do you need a domain name registered for your website?
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Yes, I need a new domain name
No, I alread have a domain name
Not sure. What is a domain name?
*Do you need hosting for your website?
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Yes, I need web hosting
No, I alread have web hosting
Not sure. What is what is web hosting?
Type of website needed:
E-Commerce/Shopping
Informational
Other
Ecommerce Questions
If this is for an e-commerce website, please answer the following e-commerce related questions.
Approximately how many products will you need us to enter during initial development?
Type of products offered:
Please Select
Physical products for delivery
Digital products for download
Both physical and digital products
Membership/Member Access
Other, I'll need to explain...
Ecommerce Questions
If this is for an e-commerce website, please answer the following e-commerce related questions.
Approximately how many products will you need us to enter during initial development?
Type of products offered:
Please Select
Physical products for delivery
Digital products for download
Both physical and digital products
Membership/Member Access
Other, I'll need to explain...
Are there any websites you have seen that you would like us to use as guides?
Approximately how many pages you will need for your website?
How did you hear about us?
Please Select
Google Search
Yahoo Search
MSN Search
Other Search Engine
Friend/Associate
Link from another website
Phone Book/Print Ad
Desired Features & Interactivity
(Roll over the items for a description)
Please be aware that more selected features will increase your project cost.
Store/Shopping Cart
Photo Gallery
Community Forum
Guestbook
Polls & Surveys
Events Calendar
News/Article Posting
Blog
Classifieds
Application Forms
Quote Request Forms
Feedback Forms
Newsletter Mgmt.
Other: Describe to us
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Mark Nelson