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First Name
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Last Name
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E-Mail Address:
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Voice Phone:
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Extension:
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How did you hear of us?
Approximate budget for project?
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< $500
$500 - $2,000
$2,001 - $5,000
> $5,000
When do you want to start project?
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Immediately
In 3 months
In 6 months
> 6 months
Time frame for project completion?
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< 4 weeks
6 - 8 weeks
8 - 12 weeks
> 12 weeks
Approximate number of website pages?
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< 5
5 - 10
11 - 25
> 25
Address of your existing website?
Services
(check all that apply)
:
Domain Name Registration
Search Engine Optimization
Search Engine Submission
Website Design & Development
Website Hosting
Website Maintenance
Website Re-design
E-Commerce
Database Development
Flash, Animation
Graphic Design
Other (Specify details below)
Website Features
(check all that apply)
:
Online Shopping
Feedback Form
Guest Book
Site Search
Client Logon
Virtual Tour
Other (Specify details below)
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© 2002
VEH Enterprises, Inc™.
All Rights Reserved
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VEH Enterprises, Inc.™
1715 DeLowe Drive
Atlanta, Georgia 30311
(404) 755-3601
