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Name:
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Phone:
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Best Time To Call:
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E-Mail:
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Do you currently have a web site?:
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How did you find our site:
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Current URL and/ or domain:
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If you currently have a web site, what specifically do you NOT like about your site?
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If you are inquiring about a new web site, please fill out the following:
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Will you need a logo designed?
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Do you have your content (text and images)
currently available for your new site?
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What is your target completion
date for your new site?
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Do you currently have a
budget allocated for your new site?
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Do you have a concept of the
size of your projected site?
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What type of business or
service is your site promoting?
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General Comments:
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