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Consultation Form
Congratulations! You're on your
way to stepping into the world of cyber advertising. This is
a big decision to make. I have created this form to help you
decide what your needs are, to get you thinking about the possibilities.
Fill it out and submit it, and I'll be in touch to let you know
what kind of assistance I can provide.
Your personal
information WILL NOT be released to anyone for any reason! Please
provide a way for me to contact you.
This form does
not create any obligation for you to retain my services. There
is no cost to you for submitting this form or for you requesting
more information.
Name:
Address (opt.):
Email:
Phone (opt.):
Type of Business for Site:
Do you have a company logo? Yes No
What is your primary audience?
ex. car owners, parents, students, etc.
Do you sell product service both neither?
How much are you currently spending
monthly on advertising?
0 - 100
100 - 200
200+
entirely too much
Do you envision a site with 1-5
pages 5+ pages?
Which of the following would
you like to have on your site? (Check all that apply.) feedback form
guest
book
external
links (to other sites) ad banners for other companies other, describe:
Other comments or questions:
Thanks for taking the time to
share this information with me.
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