Choose One: Business or Personal Web Site

Estimated number of pages needed:

Check boxes to indicate what you want on your web site:

Graphics/Pictures Custom Graphics/Logo Message Board

Links to other sites Order Forms Chat Room Search Engine

Shopping Cart Site Menu Music Guestbook

Do you need pictures scanned to put on your site? Yes No

If yes, how many?

Do you need a server for your web site? Yes No

Do you want your own domain name? Yes No

Will you need help promoting your web site? Yes No

Will you need help maintaining your web site? Yes No

Comments or Requests not listed on this form: