New Client Form

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info@dazzlemultimedia.net
Toll Free - 1-877-359-7622

General Information
Service
* Name:
Company:
URL: http://
* E-Mail:
Phone:
	Best time to be reached:
Additional Info:
1. Do you have a registered domain name (www.yourcompany.com)? Yes No What's this?
2. Do you have a reliable web host? Yes No What's this?
3. Will your site be an e-commerce site? Yes No What's this? If yes, what is the product/service & how many items do you estimate you will offer?
4. What are the main categories for your site. (i.e. About Us, Contact) - - - - - -
5. How many pages do you estimate the site will be?
6. Will you be able to provide the text for the site in digital format? (i.e. CD, e-Mail) Yes No
7. Do you have a logo? Yes No If no, do you need a logo design or revamp? Yes No
8. Do you have photographs or images that need to be scanned for use on your site? Yes No
9. Will this site need to be maintained daily, weekly, or monthly? Yes No
10. Do you have a deadline? Yes No Deadline date:
11. Do you have a specific budget?
12. Can you provide some example sites that you have seen in the past that interest you? www. www. www. www. www.

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