|
Welcome!
Your business is important to us. We are committed
to producing quality work for your online
business/community. Please fill out the following
form & click the submit button at the bottom of
this page. In addition you can save time by sending
us your brochure/marketing materials to Santech,
1730 Sepulveda Blvd., Los Angeles, CA 90025. One of
our customer care representatives will contact you
within 24 hrs.
*
Asterisks denote required fields
|
| First
Name*: |
|
| . |
| Last
Name*: |
|
| . |
| Company
Name: |
|
| . |
| Email
address*: |
|
| . |
| Phone
Number: |
|
| . |
| In
what city are you located? |
|
| . |
|
In
what state are you located?
|
|
| . |
If
you already have an
existing Web site, please
specify the URL. |
|
| . |
What
type of a Website would you
like to request*? |
|
| . |
| In
what industry do you work? |
|
| . |
What
is the primary goal of your
Web site? |
|
| . |
|
If
other, please specify:......
|
|
| . |
What
is the desired "go live"
date for your web site? |
| MONTH |
|
DAY |
|
YEAR |
|
|
| . |
| Please
select your budget range*. |
|
| . |
Select
the number range of Web pages
you would like to have designed. |
|
| . |
How
many graphics and images or other
do u foresee being included on your web site? |
|
| . |
Please
specify, if possible,
other features you would like
us to include (forms, frames,
animation, etc.). |
|
| . |
| Referred
By: |
|
| . |
Please
include any additional comments that you may have
that will help us get a clearer picture of your
proposed website.
If you have seen a web site that incorporates
particular features you like, feel free to provide
us with a URL. |
|
| . |
