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Please use this form to tell us about your company and project. Fields labeled in red are required. We are very interested in your input, and will be happy to respond to your inquiry.

First Name:   Last Name:   
Company:    
Title:      
Department: 
Address 1:      
Address 2:      
City:          State:   Zip:    
Phone:      
E-mail:     
      
 About Your Company

1. Select the type that best describes your company.

If you selected Other, please specify.

2. Select the size (in revenues or sales) of your company.

3. What products or services do you offer?

4. What is the target audience(s) for these products or services?

5. Do you currently have a web site? Yes     No
If yes, please enter the URL (including http://) below.
URL:
6. Do you currently have an Intranet (internal web pages, etc.)? Yes     No
If yes, what is the purpose(s) or use(s) of your Intranet application(s).

 About Your Project

1. Which of the following elements may be included in your project? (Check all that apply.)

Develop New Web Site
Expand Web Site
Redesign Existing Web Site
Internet Application(s)
Intranet Application(s)
Web Multimedia
CD-ROM Multimedia
Music/Sound

2. Select the ballpark budget for your project.

3. What are the business objectives for your project?

4. What is the target audience(s) that this project will benefit or affect?

5. What is the approximate timing for your project?

Start Date:      End Date:

6. What is the current status of the information content for your project?

Available       Partly Available       Not Available Yet

7. What else should we know about your project?

 Great Connections® Services

Which of the following Great Connections® services might help you achieve your project objectives? Please check all that apply.

Web Services
Professional Package
Small Business Package
Web design
Web page production
Expansion & improvement
Web site maintenance
Database integration
On-line forms
Java or Perl Programming
Marketing research
Promoting web sites
Web site usage monitoring
Hosting
Technical support
General Consulting Services
Planning
Business Consulting
Technical Consulting
Project Management

Special Applications
Automated Web Publishing
Forms Based Applications
Improving content production
Internet Applications
Intranet Applications
Multi-Channel Publishing

Seminars & training

Multimedia, Music and Sound
Enhancing web sites with music and audio
Enhancing web sites animation or other multimedia
Music composing and arranging
Audio Recording

Other Services
Computer coaching and support
Selecting hardware, software, Internet service providers

 Just A Few More Questions
1. What do you think about this web site? Was the information useful and clear? Please click on 1 of the 4 options below and provide more details in the box.
      Excellent   Good   Fair   Poor
      
2. Tell us what other information, features and improvements you think should be added to this web site.
 
      
3. Please enter any other comments, questions or requests.
      

 Submitting This Form

When you have completed this form, please click on the "Send Form" button below. Wait for the confirmation message to review your input (it may take a minute or so to process).
Please do not click the button more than once.

                                       

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