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Full Name:
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Which Services do you require?
Site Design or Re-Design
Web Site Hosting
Domain Name Registration
Search Engine Optimisation
Email Address:
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Position:
*
Company Name:*
What is the purpose of the website?
Business Website
Personal Website
Non-Profit Website
Telephone:
What will be the approximate number of pages for the website?
Web Pages
Is this a new web site design, or a re-design of an existing site?
This will be a new site
This will be re-design of an existing site
If it's a re-design, what is the URL of the current site?
Describe your style preferences
(or list 1-3 sites that you like)
Comments
What other information would you like to provide?
Will you require any of these functions on your site? (Check all that apply.)
eCommerce Functionality
Update and Edit content yourself
Forms (Other than contact page)
Forums/Message Boards
Client/Members Area
Site Search
Other Database Functions
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