Web Site Questionnaire


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If you would like to get an estimate to get started on your web site, please use this form to contact us:

Web Estimate Form

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Contact Email: *

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* State: * *

If referral, whom?:

Services Requested: *

Web Site Design
Redesign Web Site
Custom Graphics
Logo / Banner Design
Shopping Cart (Please specify amount of products)
E-Mail Marketing
Web Hosting
Search Engine Positioning
Flash Animation / Presentation / Intro
Merchant Account
Database

Explanation of Project: *


If site redesign, what are your likes and dislikes about your current web site?

Budget Range:

 

Site Information: *




Additional Pages:



Custom Scripts (JAVA, CGI, PHP)
Custom Software Development

 

Domain / ISP Information:


Domain Name: WWW.
If yes, what company are you registered with?:

If you do not have a domain name registered, please list 3 choices:


Do you require hosting for your domain?: Yes No

 

Web Site Details: *


Tell us about your company (business type):

Do any of your competitors have web sites? (If so, please list 4 of their web site):


Who is your target audience for your web site?:

Please describe the purpose of the web site and provide any other information that you feel will be helpfull:

Which of our packages do you think would best fit your needs?

How soon do you need to start the project?

Please hit the "SUBMIT" button only once!

You will then be returned to the home page. Thank you ......

* Required Fields

 


P.O. Box 9054
Coral Springs, Fl 33075-9054
Phone: 954-554-0073
E-mail: webdesign@atlwebsol.com
Site: www.atlwebsol.com
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