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?
If yes, what URL:
Please describe the nature of your business:
Please check the pages your web site will need:
Product Line and how many?
Service Line and how many?
Do you want to process online transactions? (e.g. VISA, MC, AMEX)
Do you want secured server(SSL)?
Do you want a database?
Appx. How many items?
Do you want shopping cart?
Do you want ActiveX/JAVA script programming?
if yes, please state the function:
Do you want custom Video/Audio?
Do you want custom animation?
Do you want frames?
Do you want Flash/Sharkwave?
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?