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Thank you for your interest in DMR Web Design. Please complete this form and click the SUBMIT button to send us your non-obligatory inquiry. One of our representatives will contact you shortly to discuss your needs in detail.

Contact Information

Name of Business: 
Your Name: 
Title(Owner, Manager, etc.): 
Address: 
City/State/Zip: 
E-Mail: 
Telephone: 
Best Time to Call: 

Project Information

What service are you looking for?
 New Web Page Design
 Upgrade Existing Web Site
 Maintain Existing Web Site
 Hosting
Purpose of Web Site (Check all that apply)
 Establish a Presence
 Provide Information
 Provide a Service
 Sell Products
   
Do you have a web site now?Yes  No
If "Yes", what is your URL? 

Please list a few sites that you like aesthetically in order to give us an idea of what you are looking for. These sites do not have to be in the same field as your business:
URL #1 www.
URL #2 www.
URL #3 www.

Knowing who your competitors are will help us design a site that bests the competition. Can you list the web sites of some of your competitors?
URL #1 www.
URL #2 www.
URL #3 www.

Design Style
 I Don't Know
 Contemporary
 Business Professional
 Highly Graphical
 Full Flash Site
Number of Static Pages You Would Need:
Do You Have A Logo?
 Yes
 No, I don't want one
 No, but I would like one.
Website Maintenance
 I would like to maintain the website myself
 I would like to hire a company to maintain it
 I want you to maintain it
Additional Functionality (Check all that apply)
 Sell Products through a Shopping Cart Program
Do you currently accept credit cards?
 No
 Yes
 No, but I would like to
 Member Log-In
 Chat Room Capability
 Database Search Capability
 Other 

Hosting

 No, I do not require hosting
 Yes, I will require hosting

Search Engine Services
 No Thank You
 Submission to Major Search Engines
 Optimization & Submission to Major Search Engines

Detailed Description:

Please give us a detailed description of your company and how you would like to best utilize your web site:



Additional Information

Desired Web Design Budget:
When would you like to start the project?


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