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Information Request

This form is designed to give us an idea of the type of Web site your business is looking for. Completing this information is the first step toward creating your site and will allow us to begin to develop a quote for the project.

Name: E-Mail:
Company Name: Phone:
Address: City:
State: Zip:
Do you have an existing site? YesNo
If yes, what is the address of the site?
If no, have you secured a domain name? YesNo
If so, what domain name do you have?
Would you like us to check on the availability of any domain names? YesNo
If yes, list them here:
Is the site for an existing business or new startup?
How often would you like to have your site updated?
Do you want to be able to update it or would you prefer that we take care of updates?
Do you want to display or sell products on your site? YesNo
Do you want a shopping cart? YesNo
If so, describe the products you would like to sell:
Do you want to receive secure credit card information through your site? YesNo
If so, do you want to have automatic credit card processing? YesNo
Which of the following features might you want to include in your site:
e-mail newsletter database of information shopping cart
events calendar discussion groups guestbook
rating system banner ad program weather
secure pages
Have you seen any other sites or competing sites that do what you want to do or have features that you like?
If yes, list them here:
Describe any other ideas or thoughts you have for the site below:
Is this Spam?: Yes    No (you must select this option!)

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by MGM Design 928-782-5915