Request for Service


   Please take a minute to tell us about your Internet needs.  
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Name:

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Address:
City:
State:
Zip:
Email: *
Phone:


Interested in:
(check all that apply)

Basic Web Site   (Home page and three link pages)
Medium Site   (Home page and up to seven link pages)
Large Site  (Home page and up to 20 link pages)
Getting feedback through my web site
E-commerce (with manual credit card processing)
E-commerce (with automatic credit care processing
Consulting
Web Site Marketing
Logo or special graphics development
Research project
Site rebuilding (requires access to host for publishing)
Relocating my site to a new host
Internet use training   (search tips, navigation, etc)

Project Summary:

Special
Needs:

Key Dates:

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Comments:

   

 


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