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Full name
Company Name
* Email Address
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What type of site are you interested in building?

Business Personal Other

What type of materials will you be providing for this site? (Check all that apply)

Content Images Layout Other

Which of the following services will you need? (Check all that apply)

Hosting Domain name Auto-responders Email Other

Are there any existing web sites that you would like to use as a guideline for your new web site? This will help us to understand the style you would like to project.

Do you know how many pages you will be needing?

Will your site need frequent updates?

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Would you need JNB web design to do the updating or will you do it yourself?

JNB Web Design Self

What is the deadline for this project?

What is your budget for this project?

What are your desired results from having a web site? Will your site offer services, support, generate leads, portfolio, provide customer service, etc....?

Tell us briefly about what you would like your site to accomplish.

Please leave any additional comments, requests or needs here.

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