What is the purose of
your Web site? |
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If other, please specify. |
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Please briefly
describe this project. |
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How many Web pages would you like to have designed? |
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Approximately how many graphics and images would you like to
include per page? |
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What additional features would you like on the Web site? (Hold
down the Ctrl Key to make multiple selections) |
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If other, please specify. |
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How frequently will you be updating the information on your Web
site? |
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What is the desired live date for the site? |
Month Day Year |
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Do you require Web site hosting? |
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Do you need to register a domain name? |
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Do you want your web site to have ecommerce capabilities? |
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If yes, how many products or services do you
plan on offering through your site? |
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What additional site functions and site
management requirements do you have? Please select all that apply. |
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What is your approximate budget for this Web Design project? |
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If you already have an existing Web site, please specify the URL. |
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Please
include additional comments about your request. |
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Your name or the Contact Person? |
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What is your email address? |
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At what phone number can we contact you at? |
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When will you
like to begin the project? |
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![[ Customer Start Page ]](http://www.astragate.net/images/agi_start.gif){kind=small}
