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re:connect with your audience with services from Zaper One Internet Consulting
*Your Name:
*Your Email:
ex: test@example.com
*Telephone Number:
ex: (306) 123-4567
*Are you the:
Decision Maker
Researcher
Are you a Non-Profit or Ministry?
Yes
No
*Do you have the content for your website ready?
Example: Text, Images, Documents
Please Select One
Yes
Not Quite
No
*When do you need your project completed by?
Please Select One
ASAP
2-3 weeks
3-5 weeks
3 months+
A year
Not Sure
How many pages do you think you will need?
Please Choose One
1
2
3
4
5
6
7
8
9
10
More then 10
Web Services you will need:
Web Design
Flash Animation/Banner or Presentations
Search Engine Optimization
E-Commerce
RSS Feeds
Hosting for Website
Other (We'll talk about this for sure)
*Do you need Zaper One to register a domain for you?
Yes
No
*Do you have a current website?
Website Ideas:
Do you have ideas on how your web site should look or function? Do you have websites that you like the look of? Please put this information here.
Purpose of Website:
Please put what the purpose of your website is here.
Anything else you want to tell us?
*Budget For Website:
Please Choose One
501-1000
1001-2000
2001-3000
3001-4000
4001-5000
5001-6000
6000+
