webservice

DGF

DRAGON GRAPHICS OF FLORIDA

Web Service Request Form

E-mail Address: *

Name: *

Phone Number *

Company Name:

Preferred Website Name: *

Street Address:

State: *

Zip / Postal Code: *

Country: *

How did you hear about us?

Search Engine
Social Network
Previous Business
Friend/Colleagues
Other

1 custom and unique website template will be designed (minimum 5 pages at $500.00):

Additional Pages (if required, Please enter number of additional pages that you need, $100 for each additional page, if any):

Please write down the names of links (or navigation buttons) that you want in your website (e.g. Homepage, About, Contact etc.):

Hosting & Domain:

Hosting
Domain
Hosting & Domain

Website Purpose:

Promotional Site
Sales and / or Service
Information Resources
Education & Training
Other

Graphical Interface Type:

Conservative
Professional
Classical
Funky
Other

Colors to be used (Please give a brief description of what color scheme you would like):

Please provide any other information that will help us in designing your website:

Would you like e-mail services?

YES
NO

Would you like blogging services?

YES
NO

Would you like Form Services (applications, etc.):

YES
NO

Please describe the type of Form Services:

Would you like online Event Services?

YES
NO

Would you like Membership Management Services?

YES
NO

Please list any other online services you require?

* Required