Pre - Sign up

The purpose of this form is for you to give us some basic information about how you envision your web site, so that we may get back to you with a cost quote.   Please read Features & Prices and Terms & Conditions before filling out this form.  Thank you.

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

         

 

Which features are of interest to you?

Guestbook
Hit counter
Forms (like this one) that collect information
Search This Site page
Online catalog
Shopping cart
Secure transactions
Audio
Video
Banners for display on your site or on other sites
A logo to be designed for you
An existing logo that needs to be scanned
Photos that need to be scanned
Artwork or graphics that need to be designed
Customized design for search engine registrations

 

How many pages do you estimate your site will be?


What other questions or comments do you have?


Thank you.  We will contact you very soon.  If you wish to speak with us immediately, please call (502) 425-5577


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Last revised: March 13, 2001