If
you have any questions filling out this form please
don't hesitate to e-mail
us
Part 1: Planning your site
Your
Name
E-mail Address
(Double check your e-mail address)
Mailing Address
City
State
Phone
Fax
I
want a website that will be for
How
many pages will your website have?
How
many products will your website sell?
Do
you have a web host? (type Y or N)
Do
you have your domain name?(type Y or N)
Do
you have a logo?(type Y or N)
My
website will need the following (check all that
apply)
Shopping Cart
Feedback Form
Guestbook
Chat Room
Bulletin Board
My
website will need the following things not listed.
2.
Payment
How
will you pay for your website-
Credit Card (MasterCard/Visa/Discover/American
Express)
Pay Pal
Check or money order.
