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Web Design Info Form


By completing this form, we will have an understanding of your needs going into the free consultation.
First name
Last name
Middle initial
Title
Organization
Type of business
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Which service are you inquiring about?
URL of existing site:
Domain options:
Hosting:
Development options:
Select any options you would like to have on your site.
Custom graphics FrontPage Themes Product pages
Table of contents Services page Feedback form
Other forms Message Board Hit counter with statistics (Not recommended for business)
Java / JavaScript Multimedia Company Contact page
GIF Animations Macromedia Flash User Poll
Do you need FTP access?

Yes         No

How many POP3 mail accounts would you need?
Additional information you would like to share:

 

 

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Copyright (C) 1998 Computer Designs Consulting. All rights reserved.
Last revised: October 27, 1998