Personal Information

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Web History

Please select all that apply:

Computers are foreign to me
Some computer experience
Work with computers daily
Never owned a website
Owned a website before
Disgruntled with prior webmaster
Familiar with web maintenance
Never used a web maintenance service

Your Business

Which of the following best describes your business? Please select one only:

Retailer
Service Provider
Information Management
Organization
Organization (non-profit)
Other (not listed here)

Technical Information

Select services you are most likely to require. Please select all that apply:

Domain Registration
E-mail Accounts
Hosting
Web Design - Basic
Web Design - Standard
Web Design - Advanced
Database Development
Dynamic Content Editing
Search Engine Positioning
Flash Content
Streaming Video
Forum Installation
Blog Management Tools
Logo Design/Illustration
Photo Gallery
Site Search Function
Web Shopping Cart
Secure Server Certificate
Monthly Maintenance
Web Site Management
Other:
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Purchasing Authority

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Final Say
Recommend
Influence
None

Follow Up

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