Full Name
*
:
Company Name:
City:
State:
Zip Code:
Phone Number:
Email Address
*
:
H & H Web Studio, LLC
Bloomington, Indiana 47403
Email:
hhwebstudio@suso.org
Return of Contact Information
What type of products or services does your company provide, or would like to provide online?
Do you currently have a website?
Choose
Yes
No
If Yes, what is the URL?
Are you interested in a website makeover?
Choose
Yes
No
If No, what is the desired URL?
Would you want us to register this domain name for you?
Choose
Yes
No
Would you like us to recommend the best hosting company for your needs?
Choose
Yes
No
What features would you be interested in?
(check all that apply)
Website Design
E-Commerce
Database
Site Hosting
Multimedia
Search Engine Placement
How much text about your company would you supply us?
Choose
None
Around 25%
Around 50%
Around 75%
All
How many pages of information would you like to have available?
Choose
Less than 5 Pages
Between 5 and 10 Pages
Between 10 and 15 pages
More than 15 Pages
Do you have a company logo that we could use on your web site?
Choose
Yes
No
If No, would you like us to create a logo for your web site?
Choose
Yes
No
Does your website need a database for real-time access features?
Choose
Yes
No
If Yes, how much automation would you like your web site to have?
Choose
Very Little Automation
Somewhat Automated
Mostly Automated
Completely Automated
Provide any other information, comments, or questions concerning your request:
* Required Fields
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