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Name:
Contact Email:
Your contact number:
Business name:
Company Address:
Present site URL (if any):
Industry:
Please Select
Advertising & Marketing
Art
Education
Employment & Job
Entertainment
Health
Internet & Computer
Media & News
Manufacturing
Organizations
Recreation
Reference
Retail
Society & Culture
Wholesale
Other
Company size:
Please Select
1 (Yourself)
2-10 Employees
11-30 Employees
31-100 Employees
100+ Employees
Have a marketing dept.?
Yes
No
Target market:
Please Select
Internationally
Nationally (US)
Nationally (Other than US)
Local
Specify your target area (City, State) if the target market is local:
Current marketing techniques:
Business Cards
Brochures
Press Kit
Other
Objectives of your new web site:
( Hold Ctrl to select multiple entries)
Web Presence & Branding
Direct Sales
Generate Leads
Provide Customer Service
Support Existing Marketing Efforts
Collect Request & Feedback
Showcase Technology
Provide latest info, offer, promotion
Recruitment
Not sure
How many pages will you need for your website?
Please Select
1-5 Pages
5-10 Pages
10-20 Pages
20-50 Pages
50-300 Pages
300-1000 Pages
1000+ Pages
Do you intend to sell anything directly at your site?
Yes
No
Do you have web site content ready to modify and use in digital format?
Yes
No
Part
Describe your main product or services:
Keywords you think relevant to your products or services:
Prefered website style?
( Consider functional and visual qualities)
Please Select
No Preference
Modern
Hi tech
Corporate
Traditional
Family Feel
Other
Specify if other:
Budget:
US$
How did you find us?
Please Select
Word of Mouth
Web Directories
Links From Other Sites
Other
Other requirements and concerns (Flash, video/audio, animation...)
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