Answering these questions will help us customize our no-obligation proposal for you.
Please fill in all blanks, so we can make sure to fill your needs accurately.
All information is for internal use only.

Provide the following information by clicking on the circle by your choice.

Type of Web Service You're Requesting:

Webpage Design Webpage Re-Design   Number of Pages  

If Web Redesign, please type in your complete URL.

If new site, check if you want a Virtual Domain URL (

What would you like that name to be? (we'll see if it's available)

Webpage Hosting     Storage Space in Megs Required  
Autoresponder    Number of Responders  
Response/Information Form    Number of Forms  


Check the following Site Features and Special Options you would like:

Web Trends (tracks origin of hits)
Message Board (for conversations)
Guest Book (for messages)
Musical jingle on site
Real audio message
Custom Java scripting
Custom Flash design
Custom imaging design
In-house image scanning
On-site digital pictures
Domain name registration
Search engine registration
Credit card security
Site catalog
Shopping Cart


Check the following Marketing Options you would like us to provide:
Database Management (adding client info into database)
Client Page Management (maintaining & updating pages)
Website Marketing (letting customers know where your site is)
E-mail Broadcasting (sending weekly bulk email messages)
Web Articles (writing and posting on web in in emails)
Newsletters (writing and formating for web viewing)
Lead Followup (acting on requests generated by web site)

List below any questions you have, or additional services you would like:

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Enter your E-mail address:

Business Name/Title:



State: * Zip: * Country:

Telephone #: Work or Business: Home:



 © 1994-2002 Web site
designed & developed by
TechnoTouch E-Strategists
 Web site hosted by

 TechnoTouch E-Strategists,
MarmeL Consulting Firm
& Sunrise Publishing Int'l

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Tel:(315) 853-1318

Email: marlene

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