Please fill out this contact form with as much information as you have. The only required fields are your name and a phone or email address.
Company Name (if applicable)
We take your privacy very seriously and we will never sell, rent or otherwise distribute the information you submit on our web site. You can rest assured that your personal information including your email address, will be kept in strict conficence.
Client Survey Fact Sheet - Optional
This survey is intended to help us understand your needs. Please fill in the fields to the best of your ability. With this information we will be able to provide you with a price quote and get you started on the road to your website creation and business success!
Current URL: (http://your address)
1st. choice domain name:
2nd choice domain name:
3rd choice domain name:
Estimated Number of Pages:
New Website Title:
Target Launch Date
What is the purpose of this website?
Please select as many that apply.
To sell products or services
To create an impression of my company or organization
To develop a qualified list of prospects
To improve overall customer service
To test for potential new market niches
To inform present customers of product updates
To encourage new customers to contact us by phone, mail or email
To make available product information & price lists to clients
To make available product information & price lists to suppliers
To improve inner company communications
To use Internet technology to lower present overhead
Please include any addition comments that we may have missed.
Artwork, Graphics, Text, or anything that will help with the website.
I cam provide my own company logo
I can provide all the written copy for my web pages
I can provide 'web ready' graphics, photos and artwork on disk
I'll need some help with graphics and artwork
I'll need some help writing the copy
I'll need all new graphics, text and artwork
Other items that might apply to your website
Guest books for visitor to record comments
Requests for information
Surveys of customer preferences
Online order forms
Order forms which can be printed out and mailed or faxed
Secure Order forms or those requiring Credit Card transactions
Online Shopping Carts
Sound & Audio Files
Animation (animated gif, Flash)
Database Integration & Ordering
Dynamic HTML programming
Other, please contact us.