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*
indicate required fields
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First
Name:
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Last
Name
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Company
Name
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Address
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City
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State
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Zip
Code
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Contact
Number
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Your
domain name:(if applicable)
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Full
Email address:
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Do
you own a domain name or will you need us to purchase
one for you?
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Do
you need hosting? If so which package?
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Which
web site package are you interested in?
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E-commerce?
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Would
you like to have a Flash Introduction to your site?
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Will
you need a database?
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Will
you need inventory control?
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UPS
Tracking?
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Are
you interested in web site traffic from the major
search engines?
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Do
you have a Budject? (we can finance sites $5000 to
$1million with approved credit)
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How
did you hear about us?
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Describe
Your Websits in Detail
Tell us about what you have in mind. List any specific
details you would like your web site to have. Provide
examples of other sites that are similar if possible.
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Additional
Comments or Questions
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