Free Site Consultation
We offer a FREE, no-obligation Consultation, where we will tell you how you can get the most from your Internet efforts, and how we can help you do that. All information will be held strictly confidential.
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Contact Information:
First Name *
Last Name *
Company Name *
Your Title
Address *
City *
State/Province *
Country
(If outside the U.S.)
Zip/Postal Code *
Daytime Phone *
(Include extension)
Fax
We must have a valid email address to follow up with you.
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Please tell us about your business:
Primary type of business:
Retailer Wholesaler Manufacturer Service Business Distributor Broker Non-Profit Other
If you selected "OTHER," please describe:
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What products/services do you offer?
Approximately how many different products/services do you offer?
1-25 26-50 51-100 101-200 201-300 301-500 500+
Please describe how you differentiate your products/services from other similar offerings. (Why should a customer choose you over your competition?)
Who would you identify as your competitors? (Include general references such as "widget stores'" as well as specific names, cities and states of your larger direct competitors) Also, indicate if they have a web site, and enter their web address in parentheses if you know it.
eg. Jones Widgets, Yourtown, IL (http://www.joneswidgets.com)
Who are your customers? (Include general references, such as "widget companies," as well as specific names, cities and states of some of your larger customers) Again, indicate if they have a web site, and enter their web address in parentheses if you know it.
Do you want to sell anything on-line? (On-line ordering and payment)
Yes No --------------------------------------------------------------------------------
Do you currently have a web site?
Yes No
If you answered "Yes" to the above question, what is the address?
Have you thought about domain names? (eg. http://www.yourcompany.com)
Yes No Already have one
If you would like us to check the availability of one or more domain names, enter them in the box below. You do not need to enter the "http"//www" part. (eg. "yourcompany.com")
Check these domain names:
What is your timing to get on the Internet?
As soon as possible 1-3 months 4-6 months 7-12 months More than a year Not sure --------------------------------------------------------------------------------
What is your budget?
Under $500 $500 - $1000 $1000 - $1500 $1500 - $2000 $2000 - $2500 $2500 - $3000 $3000+
Are you interested in or would like more info about promotion for your web site?
What service(s) are you interested in?
Web Design
E-Commerce
Website Promotion & Markteting
Coding & Programming
Database Design
Graphic Design
Audio & Video Editing
Domain Name Registration
Web Hosting
Please add any comments or information about your company that you think might be useful to us in evaluating what the Internet can do for you.
You made it!
Now all you have to do is press the "Submit" button below, and review your information.
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