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Please fill out this form completely. Incomplete information will only cost us both valuable time. You can usually expect a personal response within 24 hours. I have attempted to make this form as simple as possible while still obtaining enough information to give you a qualified response to your query. Filling out forms is not a fun filled experience, but the more complete you can make your answers the easier it will be to provide you with the best responses.

Họ và tên:    Địa chỉ:    Địa chỉ Email:        Điện thoại:

Do you currently have a website or URL: Yes No     If so, what is the URL?

What do you want to accomplish with your website? Try to explain as thoroughly as possible. (sell products, provide services, link to outside vendors, etc.)

Please describe your business, be as descriptive as possible:

Will you need maintenance? (Changes made on a regular basis): Yes No

Please answer the following questions:

Estimated No. of Pages: 1-3 4-6 7-10 10-20

If Selling Products, approximately how many products will you offer? 1-5 5-10 10-20 20-50 50-100 100-200 200 and up

Your Budget for This Project: 100$ to 200$ 200$ to 250$ 250$ to 500$ 500$ to 800$ 800$ to 1000$ 1000$ to 2000$ 2000$ and up

Do you have a concise idea about the look you are after? Yes No

Please give 2 examples of sites you like:

What You like about it:

What You like about it:

Any Additional Comments:

FORM SUBMISSION Thank you for taking the time to answer these questions. The information you provided will help us to give you the service that you so richly deserve.