Name

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Do you currently have a website?*

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What do you dislike about your current site?

Interested in (check all that apply):

Do you have a logo?

How many menu tabs do you think you'll need?

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What are your primary business objectives?

Do you have a preferred color combination to use?

Where are you located?

Preferred Launch Date?

Any websites you'd like yours modeled after?

Additional functions/graphics interested in? (check all that apply)

Additional Info/Details:

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