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Please fill out this form below.

Full Name: *

Business Name: *

E-mail: *

Website URL: *

What is the Purpose of this Website? *

Services Required: *

Graphics / Website:	Programming:
SE Optimization:	Website Hosting:
Print Material:

City:

Country: *

Competitor's Site:

Other Websites You Like:
(This gives us an idea of what kind of layouts, color schemes, and visuals that you might want in your website.)

What does Your Website Require?

# of Sub Categories: *

Do you require Picture Galleries?

Yes No

Databasing?

Yes No

Shopping Cart?

Yes No

Is Picture Content Provided? *

Yes No
If no, do you need them

What is Your budget? *

Will a staff member need training for maintaining the website after it is created? *
(We can only train in Hamilton,Stoney Creek, Ancaster, Dundas, Burlington, Waterdown, Oakville, and surrounding areas)

Yes No

Will you need us to maintain the site for future updating? *

Yes No

Added Notes / Comments:

*this form is not a finalized quote. It is meant to supply enough information for us to determine what you need. Based on what your site requires, the budget you set, may or may not be sufficient.

**the information you provide will not be stored onto a database and will not be sold to other companies.