If you are interested in having AZNNET design or make-over your current web site, please fill out the following questionnaire to help us get an idea of what you need. We will contact you via email within 1 business day to discuss pricing options. (*Required Fields)
 

Company Info:

  
Business Name*
Nature of Business*
Full Name*
Phone *
Fax
Email*
How did you find us?*
What is your web site?*
Please describe what you would like to happen as a result of your or your business going online:


User Info:

Please check which you use while on the Internet:

PC MAC Netscape Microsoft Explorer AOL Other

What is your favorite web site on the internet?

Who, if any, are your competitors on the Internet?

Have you had a website before? yes no

If yes, please explain:

Domain Info:

Domain Type: .com .net .org .gov .edu .mil
Is your desired domain name (www.yourcompany.com) already registered? yes no

If no, please list your desired domain name(s) (List at least 2 or 3 choices):


Site Info:

Will you be selling online? yes no
If yes, what will you be selling?  
If no, what will you offer?          

Will you be offering online credit card processing? yes no
If yes, do you want 128 bit SSL encryption to secure your site? yes no

Number of images: 1-10 11-25 26-50 over 50

Type of images needed: scanned on disk custom
 

Total number of products or subjects:
Number of product categories:           
Approximate number of words:         
Approximate number of pages:             
Additional site features:
Mail-to-Forms Shopping Cart
Order Form Custom Graphics
On-site hit counter Password Protection
Search Form Real-Video/Audio
Java/ActiveX Other
   
Maintenance account: None Weekly Monthly Quarterly

What type of maintenance will you need?

Additional comments:
 

 

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