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Business Name*
Mailing Address:*
City, State, & Zip:*
Email*
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Which pages do you want on your site:*

 

 

 

 

 

About Us
Team
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News
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In addition to those checked above, how many pages do you anticipate your website to have:*

 

Have you registered a domain name for this site?*

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If yes, do you have a hosting provider?*

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N/A

 

Do you need e-mail accounts to be set up?*

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Do you need a logo to be designed or redesigned?*

 

 

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Do you need corporate letterhead, business cards, or other printed material to be designed by Average Joe's Media?*

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Functionality required on site:*

Forms
Flash Demo/Intro
Database Functionality
Shopping Cart
Message Boards
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Other:

 

Do you have text written for the website already?*

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Do you already have images or photographs that you would like to use on the website?*

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Describe your target audience:*
Are there any sites which have a design aesthetic that you want to emulate?
In what range is your budget?*

 

Please add any comments about your budget.
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