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You have selected an interest in Einstein Web Design's Business Card Package.

To get the process going, please feel free to either Contact Us or complete our Online Query below. Our query is a no obligation form that simply asks questions to give us an idea of what you have in mind for your site, and where we will need to begin to develop your web site.

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About You

Your First Name: Your Last Name:

Please provide one of the following for us to reach you:
    Your Phone Number: ()
    Best Time(s) to Call:
    Your Email Address:

Name (or Nature) of the Company, Organization, or Hobby you want a web site for:

History

Do you already have a Domain Name?

    No
    Yes - If "Yes", please complete as much of the following as possible:
      My domain name is http://www.
      My domain name is registered with

Do you already have a web site?

Do you already have a business Email Address?

    No
    Yes - If "Yes", would you like for us to set up Email Forward on your web site? If so, what email address do you want your email forwarded to?

Your New Site

What Goals do you have in mind for your web site?

Do you have any Favorite Web sites that you would like us to use as guides for the design of your web site?

    Yes ~ www.
    What do you like about this site?
    Yes ~ www.
    What do you like about this site?
    Yes ~ www.
    What do you like about this site?
    No

Do you have any specific requests for the layout and/or appearance of your web site?

Media (Please Select any of the following options that apply):

    Already have a Logo to use on Site
    Want, but do Not have a Logo
    Don't need a Logo