ApplauZ Online - Web Hosting, Domain Names, Web Design

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Please fill out the following form as completely as you can, and we will contact you within 24 hours to get started on your website needs. You do not have to fill out the whole form, only the section pertaining to what you need.

The following items are required
Your Full Name:
Your Email:
Phone Number:
Website Address: (enter "none" if you don't have one)
Projected Budget:	Between: and
Services Needed: (fill in the sections below for your choice)	Website Design Graphic Design CGI Scripting

Website Design Please be as detailed as possible
Do you have a domain name?	Yes No
If no, what domain name(s) would you like?
Do you need a new site or a redesign of an existing site?	New Site Redesign
Do you have a company logo?	Yes No
How many pages do you think you will need for your site?	1 to 10 11 to 25 26 and up
Will you be selling products on your website?	Yes No
If yes, how will you be accepting payment? (check all that apply)	Phone and Mail only Online Credit Card charges Online Checks
Please list the urls of up to three sites that you like the layout or look of:
Please describe with as much detail as possible what you are looking for in a website, including the purpose of the site, colors you like, etc:
Done! Go to the bottom and preview your choices!

Graphic Design Please be as detailed as possible
What is your site name?
Do you have a company logo?	Yes No
Do you have a certain color or colors you would like? If so, please list all colors:
Please list the urls of up to three sites that you like the layout or look of:
Would you prefer a dark or a light background?	Dark background Light Background
Do you prefer a flat look or a 3D look?	Flat Look 3D look
Please describe with as much detail as possible what you are looking for in a graphic set, including the scope of your website, colors you like, etc:
Done! Go to the bottom and preview your choices!

CGI Scripting Please be as detailed as possible
Do you know of a script that is similar to what you would like? If so, provide the link to the script site:
Describe in detail what you would like the cgi script to do:
May ApplauZ.com offer the script for sale on our site after it is completed? (if yes, the price will be lower)	Yes No
May ApplauZ.com place a credit link on the pages the script produces? (if yes, the price will be lower)	Yes No

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