Project Evaluation Form

Name:
Address:
City:
State:
Zip:
Home Phone:
Cell/Other Phone
Email:
Company:
Do you currently have a website?	Yes No
If yes, what is it?
Services you are interested in:	Create a Website	Redesign of a Website
	Hosting	Logo
	Domain Name Registration/Transfer	Website Maintenance
	Website Creator
Number of pages:
Best time to call:
Domain name requests:
Website color schemes:
What type of look and feel do you want for your website?
Please provide any additional information:

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