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Telephone Number:
What is your website URL?
Address:
Approximately how many pages
does your website currently have?
Do you have E-Commerce active
on your current site?
Yes No
Not
Sure
Do you have a photo gallery
active on your current site?
Yes No
Do you have any forms active on
your current site?
Yes
If Yes, how many different forms?
No
Do you have a streaming video
active on your current site?
Yes No
Are you interested in having
your video put on your site?
Yes-
Please include price in your quote
Yes-
But later, please give price separately
No,
thank you
How did you find our site?
Please include any further
information that will be helpful in redesigning your current website.
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