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  web design: inquiry form

Not sure how to go about having your website developed? Or need some guidance on what issues you need to consider? Contact us through our inquiry form below and we will be better able to serve you.

Please be as detailed as possible!

Please send me more information on....

*Your Name

Company Name

*Street Address

*City

*State/Province

*Zip/Postal Code

Country

*E-mail

*Telephone

FAX 

*Required Fields

What line 
of business 
are you in?

Do you have company flyers, brochures, or other literature?

Do you have a company logo, or other images and graphics?

Is this a new site or redesign of an existing one?

Current URL :

Will you need any of the following...

Hosting services?

Custom Graphics

Splash Page (with or without Javascript Mouseover)

Do you need to accept credit cards online?

Other Javascript functions

Do you have a merchant account?

CGI Scripting Support

Will you require maintenance for your site?

Order or Contact Forms

If yes, how often?

How many and what type of forms?
(be specific)

Will you need a database for products, articles, etc?

Shopping Cart on Secure Server

What is your website budget?

If Yes, how many products?

How were you referred to Hosting Connecticut?

Please provide a detailed outline of your site. Do the best you can to give us as much detail as possible, including how many links and graphics you think you will need on each page.

If you have any other questions or comments for us, please use the box below.

 Thank you! We will be in touch shortly.