Web Site Info Form

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:

*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*

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

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