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Purchase Order Survey

Use this form to help us determine how best to serve you. If you want us to build a Website, we need to know the type of Web site you want and the services you require.

Please answer as many questions as you can...

Note: You can reduce the cost of building the Website if you can provide Web ready graphics on disk. But do not worry, we can develop new graphics and artwork, or scan them in, for very competitive prices.

Please Enter Your Website Information in Survey Form

Your Name:

Company:

Your eMail:

Phone:

Fax:

Address 1:

Address 2:

City:

State:

Zip:

Who are you trying to reach

What do you want to accomplish? (please select all that apply)

Attract new customers

Provide information about our company

Control the release of time sensitive information.

Promote a favorable impression

Improve overall customer service

Encourage customers to contact us by eMail.

List product information and prices

Provide helpful information for our customers

Address FAQ - Frequently Asked Questions.

List 3 websites you like

List 3 competitor websites

Art work, Graphics, Copy and Text (please select all that apply)

Company logo

Written Copy

Graphic Images

Photographs

We would like to consider the following package (please select all that apply)

Packages

Bronze

Silver

Gold

Platinum

Diamond

List Elements you want on your site (please select all that apply)

Password Protected Areas

Order Forms

Online "Shopping Cart"

eCommerce / Credit card approval

Sound and Audio files

Animation (gif, Flash, Macromedia, etc.)

Video clips (various file formats)

Streaming audio and video

Virtual reality

Movies

Database integration

Guest books for visitors to record comments

Shopping Catalog

Which Internet browser do you use? (please select all that apply)

Fire Fox

Netscape

MS Internet Explorer

AOL

Other

Additional Services (please select all that apply)

Website Maintenance

Website Promotion

Domain name registration

Website Hosting

Internet Access

Graphic Scanning

Web content development

Which screen resolution do you use? (please select all that apply)

1600 X 1200

1280 X 1024

1152 X 864

1024 X 768

800 X 600

Enter your Registered Domain Name, otherwise list 3 options for the name you want.

First Choice or Registered Domain Name

Second Choice

Third Choice

Does this project have a deadline?

(If yes, please enter date)

COMMENTS

Information about a site that currently exists.Approximate size of site in Megabytes

Approximate transfer rate per month in Gigabytes

Number of Web Pages in the site

May God Bless the men and women
who fight to keep our country free.