CONTACT INFORMATION
 
Name Business

Address City, State, Zip Code

Phone Number Email Address


DOMAIN NAME

I already have a Domain Name and it is: Domain Name
Domain Name

If you don't already have a Domain Name purchased, please type your first two choices below.
(Some Domain Names are off limits because they are already in use.)

First Choice Second Choice


PAGES

In the box below, please list the pages that you would like to include in your web site.


SITE DESIGN

In the box below, please list any color schemes that you may be considering, or
graphic ideas that you may have. If you know of any sites that are similar to what
you are looking for, please list those here as well. Do you have a preference about
where your page links are located? (down the left side or across the top)
Please give me as much directionas possible, so that I can ensure that
the site I design is exactly what you are looking for.



Do you have any logos that you would like me to incorporate in your site?
Yes


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