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Company Name
Current Domain Name: (Leave blank if none)
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E-mail Address *:
I am interested in..		a custom built web site. the transfer of my current site to new hosting company. a web site built from a chosen template. purchasing a Domain Name. a Submit Form/s (like this one). Flash or Gif animation. E-commerce driven site. business card CD-ROM. a detailed Tracking system of visitors on my site. a web based database front end. additonal E-mail accounts added. About Us or Mission Statement page Service or Product information Image Gallery Downloadable printable information such as Adobe PDF files 360° Panoramic image or Tour Detailed Driving Directions to location Java scripted Roll Over buttons Short animated Flash intro on home page Animated flash header of your business logo Flash navigation buttons (no sound) Flash navigation buttons with sound (Ex: click or beep) AVI, MPEG, Windows Media Player, or Quicktime movie files Music Other
Comments
How many web pages do you think your site will need?		Please choose one 1-5 page site 5-6 page site 7-10 page site 11-15 page site 16-20 page site 21-30 page site 31-40 page site 41-50 page site 51-100 page site Other I don't know.
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