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Website Design Consultation

Tell us about your project

Thank you for your interest in DeafVision's professional Web Design services. For a free consultation, please completely fill out the form below. The information you provide will help us better understand your needs and the scope of your project.

All information provided is strictly confidential and will not be disclosed to or shared with any parties outside of DeafVision, Inc.

Contact Information

First Name:
Last Name:
Title:
Company Name:
Type of Business:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Daytime Phone:
Fax:
Email Address:
AOL IM Screenname:

Company / Organization Profile

Please tell us a little about your company or organization and the type of services you provide:

Website Goals

Please tell us the purpose and goals of your website. Please also tell us who your target market is:

Estimated number of pages your website will contain:

Desired Features / Services

Please check off any features or services that you think you will need:

Flash Animation
Custom Programming
Database Development
Domain Registration (your_website_name.com)
Web Hosting
Video/Audio Streaming
Contact Form(s)
Autoresponder(s)
Merchant Account
Shopping Cart System
Online Chatroom
Promotion/Marketing Assistance
Electronic Email Newsletter
Search Engine Registration
Banner Ads
On-Going Website Maintenance
Content Development and/or Editing
WAP Development

Other:

Budget

What type of budget do you have for this project?

$1,000 - $2,000
$2,000 - $3,000
$3,000 - $5,000
$5,000 - $9,500
$10,000 - $15,000
$15,000 - $25,000
$25,000 +

Timeframe

What is your desired timeframe for completion of this project?

Additional Information

Is there anything you'd like to add?



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