What is most important to you?
Price Quality Speed Customer Service
What is the size of your company?
How did you hear about us?
Friend Magazine Newspaper Flyer ISP
Do you already have a web site?
Yes No
If yes, what URL:
Please describe the nature of your business:
Please check the pages your web site will need:
Homepage
Company Profile
Product Line and how many?
Service Line and how many?
News page
Contact page
F.A.Q. page
Support/Download page
Search page
Links page
Employment Page
Showcase page
Do you want to process online transactions? (e.g. VISA, MC, AMEX)
Yes No
Do you want secured server(SSL)?
Yes No
Do you want a database?
Yes No
Appx. How many items?
Do you want shopping cart?
Yes No
Do you want ActiveX/JAVA script programming?
Yes No
if yes, please state the function:
Do you want custom Video/Audio?
Yes No
Do you want custom animation?
Yes No
Do you want frames?
Yes No
Do you want Flash/Sharkwave?
Yes No
Do you have any custom requests or instructions?
How soon do you needed? (next day cost extra)
next day 1 week 2 week 3 week 1 month
How do you wish to pay for it?
Company check Cashier's check Cash VISA MasterCard
Do you need advertisement/marketing of your site?
Yes No