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The information you provide here will be used to design the layout of your website. If you have a desktop publishing, CD/DVD duplication, or scanning project, please check the appropriate project box. Content (text) material must be provided by you. We will contact you within 8 business hours to further discuss your vision.

Name:
Your Email Address:
Your Telephone:
Your Company:

Type of Project

Website:

Logo / Graphics:

Desktop Publishing:

CD / DVD Duplication:

1. My intended (or current) domain name

please include .com, .net, .org or etc.

2. The package:

3. Competitors' Websites

http://www.

Comments:

4. Use the following websites as design, color, and layout comparison?

http://www.

Comments:

5. Menu of my website?
1.	5.
2.	6.
3.	7.
4.	8.

6. My Logo

a. I can provide an electronic copy of my logo to add to the website

b. I would like you to redesign my logo to add to the website (additional cost may apply)

7. The package includes Flash animation

a. Package includes animation & sound

8. Color Scheme

9. Additional Comments

Image Verification: