Your Name:

E-mail:

Your Phone Number:

Company Name:

Street Address:

City / State / Zip:

Country:

Best time to contact you?

Here are a few examples of how businesses, both large and small, are utilizing their internet presence.   Which of these apply to you?


  Increase public awareness

  Increase sales

  Generate business leads

  Increase international presence

  Generate requests for information

  Support existing advertising, 
      promotional efforts

  Offer customer service

  Build store traffic

  Provide latest information regarding
      new products / services

  Build a database for 
      organized mailings

  Provide directions to consumers

  Survey customers / prospects

  Recruit new employees / 
      Post job opportunities

  On-line portfolio

  Reduce Time Spent Answering 
      Requests for Information

  Create a 24 Hour Storefront

  Reduce Printing and Postage Costs

  Better Serve Your Local Market 

  To Stay In Contact With Sales Staff

  Target a Specialized Market

  Level the Playing Field


What is / will the primary function of your website be?

What is / will the secondary function of your website be?

Address of current website? (URL)

Would you like information about similar business's on the net?
Yes  
  No
What type of advertising has been most successful for you to date?

Will you be accepting credit cards?
Yes  
  No
What is your primary concern about advertising on the net?

How can we help you?