| Business Name |
| Contact Person |
| Mailing Address |
| Phone Number |
| Fax Number |
| E-Mail Address |
How did you find us? |
Why do you want a website? What is its purpose? |
Your website is like your company brochure. How many pages would you like? |
What mood would you like to create? |
Maps can be helpful for businesses, municipalities, farms, or tourist attractions. Will you want maps on your website? |
Quality photos are excellent tools for promotion on the internet. Approximately how many photos would you like to see on your website? |
What other special features are you considering? Check as many as might apply.
Chat Room/Discussion Forum
Survey, Guestbook, Order Form
Search Engine
Local Time/Date
Other
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Do you want us to submit your website to search engines and directories? |
Would you like businesses in your industry notified of your new site, with reciprocal links requested? Would you like individuals notified? |
We highly recommend the purchase of a virtual domain name. Would you like us to register one for you? |
Is there another website you like the looks of? (Give business name or web address.) |
Please provide a brief description of your company. (Products, services, location, etc.)
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Tell us a little more about your website plans. What else have you got in mind? What do you hope your website will do for your business? Provide as much detail as possible.
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