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Name*
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Designation
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Company
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Company URL
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E-mail*
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Tel*
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State
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Zip
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How did you hear about Dotcom?
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What type of service are you looking for? (Check all that apply)
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Internet Strategy
Web Site Design
Usability Testing
E-commerce
Content Management Tools
Search Engine Promotion/Marketing
Email List Distribution/Management
Advertising
Corporate ID (Logo design)
Marketing Plan/Consulting
Programming
Copy Writing
Web Hosting
Other
   
What is your budget range?
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Project start date
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ASAP No Rush Not Sure
When would you like your project completed?
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Do you have an existing web site?
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Yes No    
If you checked above that you require web site design or development, please answer the following:
If you have a web site, what is the current address?
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Estimated number of pages to develop
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Will you be providing the written content for your site?
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Yes No Not Sure
Will you be providing the images digitally?
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Yes No Not Sure
Will you need photography or stock images purchased on your behalf?
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Yes No Not Sure
How will you maintain your web site?
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Please give us a brief on your existing/proposed business*
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What qualities do you expect of us?
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Enter additional needs, questions or comments here
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