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Name:    
Email:    
Company Name:    
street address:    
city: state:
zip code:    
telephone: fax number:

What is the main reason for contacting us in this matter? 
we have no site at this time, but know we want one.
we started building one ourselves, but are having trouble.
we have been looking into having one made, you are one of several people we are looking at
we have one and are not happy with our current provider
we built one but can't keep up with it ourselves, please help!

 

 

Currently, we have a website. yes no (answer please)
if yes, what is your website's URL? Our website URL is www. (please include .com, .net, .org, etc)
No, we do not have a website nor a registered domain name.  We would like for you to help us with getting it registered. These are the domains we have an interest in.
1st choice
2nd choice
3rd choice
4th choice

Website Program Issues
In this section please place a check in all items you have a need or desire to have included in your website.

Please note - we understand that some of the items may not have importance and that this list is not all inclusive of services available.  However, so that we may best assist you in the construction of your site, having answers to all of the items in our "Web Worksheet" help us, help you.

email addresses, how many
mass email capability
automatic responders
a directory (staff, membership list, product list)
directions to office, how many
maps of the area, how many
search engine submission
website counters
site tracking capabilities
company newsletters posted
links to other organizations
posted articles of importance
forms for people to complete, such as applications, membership info, etc.

Supplemental Questions
We have specific logos we want to use: Yes No
If yes, our logos are available in the following form(s): check all that apply --- camera ready, jpeg, gif, other
We have looked on the Internet and have found the following sites to our liking.  These are just examples of what we hope to accomplish.  They are

www.

www.

www.

Please include any final/additional items in this comment section:

 

To finalize before submission you must type: CONSULT in the box below.  The form will not be submitted unless you do so.

Please enter the word CONSULT in CAPS in the box provided

 

 
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