If you are interested in having a web page created, please fill out my survey so I may get a better understanding of your needs.

Please tell me your name: (Do not hit return)

Please tell me your email address: (Do not hit return)

1) How many separate pages (documents) will you need?

1-6
6-12
12-20
More than 20

2) What type of page are interested in?

Personal
Business

3) Please check all that you are interested in:

Java Applets
Image Maps
Animated Images
Sound
ActiveX
Custom Logo created
I will need images scanned

4) Please provide any additional comments:

5) How did you find us?



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