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Contact Us
   
Please fill out the form below with your information and we will look it over and give you a call to discuss your plans further.
Name  
Title  
Company Name  
Type of Company  
Telephone    
Email    
1. Tell us about your business
  i.e. The nature of your business, products/services you offer and your current target market.
   
 
2. What type of Web site design services are you looking for at this time?
 
    Other:
   
 
3. What do you want your website to do? (Check all that apply)
 


   
4. Do you have existing promotional text or advertising copy that can be used for the web site (Example:
    an existing site, pamphlets, brochures), or does most of the text for this site need to be written?
   
    Please specify existing material:
   
   
5. Please select pages or features you would like to have on your website.
 








   
 
 
 
      A web form that allows you to collect detailed information from visitors. The collected information can be delivered by email or stored in a database. Uses include: registration forms; feedback forms; quote requests; etc.
 
      Manage a collection of documents that website visitors can view and download.
 
      This feature allows you to have a password protected section of the website where only certain people can access. This might be used to post members only news.
 
      Allow your visitors to easily subscribe and unsubscribe from a mailing list.
 
6. Have you seen any websites that have the desired look or similar features for your new website?
    (Please list and tell us what features you like).
 
 
7. Do you currently have a website address for your new website?
   
    Please enter your Domain Name below:
   
 
8. Will you need hosting services?
   
 
9. Will you need email accounts setup?
   
    If yes, how many accounts?
   
 
Additional Comments:
 
 
Note: Reeves Information Technology is not responsible for images and text used on a site created for a client. It is the responsibility for clients to provide material for their site. The client is also responsible for gaining approval to use content or images from other resources. All text and images should be checked by client before site is up.
   
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