Free Consultation | isdconnect.net

Email: info@isdconnect.net
Telephone: 234 702 800 7341
234 8023 075 833

Please take the time to fill out our FREE CONSULTATION request form. We will use the information to establish your needs for a web-based information system.

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First Name:*
Last Name: *
Company Name: *
Address_1: *
Address_2:
City: *
State/County: *
Email: *
Work Phone: *
Mobile Phone:
Fax Number:
How would you prefer to be contacted:
Do you currently have a website or URL?	Yes No
If yes, what is the URL?
If no, list three preferred domain names:	1. 2. 3.
You have successfully completed the first step on this request form. Please continue with step 2; the more complete your answers, the easier it will be to provide you with the best response.
Estimated number of pages you require:
Please describe as thoroughly as possible what you want accomplished:
Please describe your business, be as descriptive as possible:
What area are you trying to reach?
Who are you trying to reach? (press ctrl key to select more than one)
Which of the following design elements would you like to include in your site? (press ctrl key to select more than one)
Will you need maintenance? Changes made on a regular basis.	Yes No
How would you like the design? (press ctrl key to select more than one)
Please give examples of sites you like and why.	Comment: Comment: Comment:
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Thank you for taking time out to answer these questions. The information you have provided will help us give you the service you so richly deserve.