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Last Name
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Company Name
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Service Description
Website design/Development
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More information? Please select all that apply.
Search engine marketing/promotion
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Traffic Statistics and Analysis
Website Hosting
Other information please specify
Would you need help registering a domain?
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Would you require hosting services?
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Will you provide your own content?
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Will your site require maintenance?
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What is your budget for this project in dollars ($)?
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Please submit 5 to 7 keyword phrases that describe your website. Seperate with commas.
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Select any or all of the options below you think you will require.
Shopping Cart
Database Integration
Graphic Design/Flash/Logos
Secure Server
Forms
Search Engine Promotion
Credit card Processing (Online)
Script/Custom Programming
Streaming video/audio
Other (please specify)
Estimated target date when your site goes live?
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