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Please fill out the following form so that we can get an idea where your company is headed on the planning and production of your website or graphic design work.

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Company
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Address
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E-Mail 
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Current Website Address 
If you don't have a current website, do you own a domain name?   YES   NO
If yes, what name did you choose? 
How did you hear about us? 
Reference's Name: 

What kind of projects can we do for you?
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Other types of projects in mind:
Will you need discussion boards for your website for you?  YES   NO
Will you need chat rooms for your website for you?  YES   NO
Will you need us to maintain your website for you?  YES   NO
How much is your company's  budget for a website? 
Are there any other issues you would like to discuss?

AAWOL Design     Colonia ,NJ 07067     p.732-669-1875     f.732-669-1875     e-mail:  info@aawoldesign.com   sales@aawoldesign.com

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