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Design Project Form
Name:
Address:
City
State/Province/District*
Zipcode
Country:
Email
Telephone
Fax:
I have a question about:
Web Design:
WebDesign
Existing site
Personal site
Business site
NonProfit site
If you have an existing website please enter the URL:
How many pages do you think you will need?:
1
2-4
5-7
8-15
over 15
unknown
Do you have existing graphics?:
Yes
No
Do you intend to makes sales from your website?:
Yes
No
Will your website have regular updates?:
No
Daily
Weekly
Monthly
Occasionally
Will your website be used to collect information?:
Yes
No
Do you have or require your own domain?:
Yes
No
Required
*Please outline your expectations for your website
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Bravenet Web Services
, Inc.
