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First Name*
Last Name*
Phone (ie 9161234567)
Do you currently have a website?
If you answered YES to previous question, what is the address?
What is the focus of your business, what are you providing to your customers over the Internet?*
Do you have a few sites you'd like to emulate, or you think are particularly interesting? (this will help us determine what kind of site you're looking for, so we can give you a better idea of what it will cost)
How many pages do you think your website is going to have?*
When would you like to see your website finished?*
How did you hear about us?

If Other, please specify
Website Features
Flash movie
Shopping Cart
Search function
Special effect menus (drop-down, flyout, etc.)
Forms (feedback, quotes, etc.)
If other fetures, please specify:

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