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Name:

Phone:

Email:

I am interested in: a new, original website site redesign

My specific industy, or the purpose of my site is:

Number of pages anticipated:

I will need: domain name (www.mybusiness.com) hosting

My target audience will be: business people/professionals mainly women mainly men teenagers/twenty somethings children everyone

I envision my site to be: high tech - all the bells and whistles professional - some bells and whistles when appropriate quick and tasteful - speed is most important

I will need a secure shopping cart:yes no If yes, appx. number of items:

When thinking about maintaining my site I: prefer a full service package that includes design, uploading, maintenance, and hosting prefer to have my site designed by you, but will do my own uploading and maintenance

I need the following items for my site:text logo graphics/photos

My budget for this project is:

Additional comments: