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To help us learn more about your needs, please complete as much of this form as possible. We'll review your information and contact you with information on preparing a proposal and cost estimate.

Your Name:	Email Address:
Phone Number:	Company Name:
Street Address:	City, State & Zip:
Yahoo Messenger:	MSN Messenger:
Skype:	AIM:

What type of project are you interested in?
(Check all that apply.)

I need to have a new project built from scratch.
I need to enhance my current project.
I would like to have a logo designed for my company.
I am interested in having a multimedia CDROM developed.
I need to have print media designed.

Please briefly describe your web/media needs:

Existing Web Site: (if applicable)

Please provide a web site you like the look and design of:

Please provide the web site of your largest competitor:

What technologies would you be interested in having for your project: (check all that apply)

Flash Animation

Database Support

Ability to Update News Articles

Photo Galleries

Discussion Forums / Chat

Document Library / Storage

E-Commerce (Shopping Carts, etc.)