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| First & Last Name: |
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Email Address:
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Telephone Number:
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| Website URL:
Current web site address or domain you intend to
register. |
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| Business Type: |
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| Budget: |
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Type Service required:
Choose a service to best describe your needs. |
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| Programming Languages
Preffered:
You may select multiple |
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| Do you need Custom Graphics?
Includes banners, logos |
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Design Description:
Please provide a detailed description
of your design requirements, everything including features, content
type, number or pages and sample web sites that best depict the
design you are looking for. |
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How soon do you need the site up?
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FEATURES |
Dynamic scripts?
(Javascript & DHTML to make the site dynamic and more automated)
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Macromedia Flash?
Includes flash intro's, banners etc
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Data submitting Forms?
Check this if you need forms
that will submit data to a CGI or custom script for processing. |
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| Data storage type if any: |
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Administration Panel Required?
Check this if you wish to be able to administer
options in your script from the web. |
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Script Integration Required?
Check this box if your script
must integrate with other scripts in this project or with existing
scripts. (DO WE NEED TO ACCOMODATE AN EXISTING SITE?) |
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