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First Name:
Last Name:
Company Name:
Is this a new web site? Yes or No
If this is a new web site -
What type of business is it?
Current Web Site URL: http://www._._
What is the budget for this project?
Is there a deadline? If yes, when it?
Do you need a new web site design?
Do you need changes to your site
Do you need SEO
Search Engine Optimization
Do you need a shopping cart
or ecommerce
Do you need a logo? Yes or No
Are there some sites you want your
website to look like. If so, enter the
URLs below in Other Info box.
When is the best time to call you?
Do you need hosting for your site?
Who will make the final decision on
this project?
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E-mail Address:
Other information:
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Phone: 713-825-8665
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