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Site Information:
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What type of site are you requesting?
Business
Organization
Personal
Other
New
Redesign
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How many pages would you like your site to have?
Current
Requested Domain Name
Do you have an ISP to host your site?
YES
NO
Do you have specific colors you would like to use?
YES
NO
Do you have a logo?
YES
NO
Include Flash on:
Intro
Home page
All pages
Do not
include Flash.
Will your site need a database?
YES
NO
NOT SURE
List URL's for three sites you like:
Contact Information:
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First/Last Name:
Company/Organization:
Address:
City:
State:
Zip:
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Email:
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Phone:
Fax:
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Prefered Method of Contact:
Email
Phone
Fax
General Information:
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Company/Organization/Project Description:
Additional Comments/Questions:
Budget (if any): Project Deadline:
$
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