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* Name:
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* Company:
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* Address 1:
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Address 2:
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* City, * State:
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* Zip:
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* Phone:
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Fax:
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* E-mail:
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Please enter your comments or questions:
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If you are requesting information or a quote on our website development services, please fill out the entire form.
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Please describe the general nature of what you want to present on your webpage or website. (i.e. personal information about me, market my company or promote awareness of my cause, sell my products, etc.)
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Estimated number of pages that estimate your web site would include.
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Number of graphics and/or product photos that you would like displayed on the website.
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Are you interested in AllWeb International custom-designing images for your website?
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Yes
No
Not sure
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Do you already have space on a server to host your website? (i.e. is your internet provider giving you space or will you need AllWeb International to set you up with web space and host?)
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I have space for my site.
I would like you to set my site up on a server that offers website space at an additional fee.
Not sure
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Will you need any custom forms, CGI or Java scripts for you website? This will allow users to send requests for information, quote requests, orders to you via e-mail.
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Yes
No
Not sure
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Will you want an online shopping cart that will allow your customers to purchase items through your website?
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Yes
No
Not sure
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Please provide any additional information that may help us in determining how we can best serve your web design needs.
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Thank you for inquiring about AllWeb International Web Development services. By filling out this form you are simply requesting information from us and you are not obligated in any way. We will respond to your request within 24 hours. If you do not hear from us within 24 hours, please email us directly. Occasionally some older browsers do not support forms very well and we may not have gotten your submitted form.
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