| company information |
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Contact's first name |
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Contact's last name |
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Company name |
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City |
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State |
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Phone |
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Email address |
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Contact preference |
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Current Webster's address |
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Business description |
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| project details |
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Current site built by? |
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Why do you want to have a web site? |
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Who is your target audience? |
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Will you need a domain name registered for your web site? |
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Will you need hosting for your web site? |
If yes, Who are you currently hosting with? (Please supply the name/web address of host)
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How do you envision for your web site looking and functioning? Do you have any specific requirements or goals? |
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Do you plan to sell your products online? |
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What is your projected budget for this project? (Please be realistic here so that we may better serve you). |
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| Up to 3 web sites in your industry that you admire: |
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Site 1 |
http://
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Site 2 |
http://
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Site 3 |
http://
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| Up to 3 web sites in your industry that you dislike: |
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Site 1 |
http://
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Site 2 |
http://
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Site 3 |
http://
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How did you hear about us? |
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Do you have any additional comments and/or requirements that you feel may be important in providing an accurate quote? |
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