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Please fill in these fields as completely as you can. This will help us assess your needs and offer you a more accurate proposal.

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Name:
Email:
Company:
Phone: ( ) - Ext
 
1. Please indicate the type of project you are interested in working on with us? (Select all that apply)
 Web Site Design
 Application Development
 System Integration
 Flash/Multimedia Development
  E-Commerce
  Logo/Brand Identity
  Print Design
  Not Sure
 
2. Your main objective(s) for the project is (are) to:
 Advertise my products or services
 Provide company and product information
 sell products or services on the Internet
 Other
 
3. When would you like this project to be completed?
 
4. What is your expected size of your web site, measured in terms of pages?
 Small site (less than 10 pages)
 Medium-sized site (10-25 pages)
 Large site (more than 25 pages)
 
5. Will you need support in creating content copy for your project?
 Yes
 No
 Not Sure
 
6. Do you have graphic images for your site (logos, etc.) in electronic format, or will you need graphic development assistance?
 Have graphics
 Need assistance
 Both
 Not sure
 
7. What is your projected budget for this project?
 Less than $5000
 $5000 to $10000
 $10000 to $20000
 More than $20000
 
8. Any additional information or comments about your project:
 
9. How did you hear about us?
 
Please type the letters as they appear in the box below.
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Oh, stop! You're making us blush...

For years I have used web developers that did it their way. It's great to have finally found a practical and reliable firm that keeps the client in mind.

Drew Stevens
Stevens Consulting Group

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