SITESAMPLES.NET 
Internet web site design and development.
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Web Site Questionnaire

 
Questionnaire and Request for Proposal

Contact Name:
Business Name:
E-mail address (required):
Mailing Address:
City, State, ZIP:
Day Phone:
Night Phone:
Current web site address:

Your target audience is: (select one)
  Local
  Nation-wide
  World-wide

Please include in the box below the nature of your business, other web sites you may wish to base your web site on, or any and all other useful information. Don't panic if you're not sure what to include here. Our staff will discuss any missing details with you when we get back to you.

 
What services are you interested in?
 
  Web site design
  Web site re-design (Got an old fixer-upper?)
  Banner, button & graphic design
  Adding a database, shopping cart or catalog
  Not sure

How did you hear about us?

 


 

E-mail Us

832-921-2962

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