Contact Information:

Name: 
Name of Business:   Type of Business/Service:
Address:      City: State:     Zip Code: 
Daytime Phone Number:    Evening Phone Number:
Email Address:   Fax Number:

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Website Wishes:

Type of Business, Service or product:


Is this a new site or an Existing Site?    New:      Existing: 

Describe what features you would like (Graphics, Picture Gallery, Information pages, Guestbooks, etc..)


Please describe what pages, by Title, you would like to have incorporated in your web site (i.e. Home Page, Info Page, Gallery, Products, Services, etc...)

How many changes or updates would you require per month/week?  Please explain.



Multiple email accounts needed:  Yes No:   If "Yes" - how many email accounts? 1 2 3 4 5 6 7 8 9 10


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                                Website Requirements:

Domain Name: 
Do you need Twin Angel Custom Designs to register a Domain Name for you?  Yes:   No:
If Yes, what is the web address you would like to have? 

If you already have a registered domain name, please type it here (i.e. www.domainname.com)

Hosting (done offsite):
Twin Angel Custom Designs recommends Hostway.com for your hosting needs, however, if you have a web hosting company that you would like to use, please let us know the name: 

I'd like to get hosting prices from Hostway.com: 

I'd like to use the following hosting company to host my website: 

Search Engine Submission: (optional): 
Do you want us to submit your website to the top 100 search engines (additional cost):?  Yes:   No:

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                                    Questions:

Please ask any other questions, or give us any other pertinent information to help in assisting you with your new website!  Including how quickly you are looking for a quote or how soon you may need your new site up and running. 

How did you hear about Twin Angel Custom Designs?     Search Engine Paper Advertisement Friend/Relative Other

Thank you for allowing Twin Angel Custom Designs the opportunity to quote you on your new website!
 

Thanks for the information.