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IF YOU'RE A WEBTV USER AND YOUR STATUS BAR IS EMPTY, PLEASE RELOAD THE PAGE SO THIS FORM FUNCTIONS CORRECTLY. THANK YOU !!!



This Form is a Preliminary Form and it will give us an idea how you want your Web Pages designed. After we receive this form, we will contact you with further details and / or questions we may have. This form in no way constitutes a binding contract.



--- Your Name ---





--- Your Email Address ---





--- CHOOSE A PACKAGE ---



Package #1 --- 3 Page Business

Package #2 --- 1 Page Business

Package #3 --- Personal Page

No Package



--- CHOOSE A PAGE LAYOUT ---



Layout #1

Layout #2

Layout #3

Layout #4

Layout #5

Layout #6

Layout #7

Layout #8



--- MAKE YOUR COLOR CHOICES ---





Background Color - Banner Section





Background Color - Heading Section





Background Color - Body Section #1





Background Color - Body Section #2 (If Applicable)





Background Color - Body Section #3 (If Applicable)





Background Color - Navigation Section





Text Color




--- YOUR CHOICE OF BANNER ---



Static Text Banner

Animated Text Banner

Neither of the Above Banners



--- Please Check Boxes That Are Applicable to You. ---



I Prefer A Graphic Banner in Place of a Text Banner.

Yes. I Want Custom Made Digital Images for my Pages.

I Need One Web Page Instead of a Package Plan.

Yes. I Want a Slide Show On My Site.

Yes. I Want an Image Gallery On My Site.

My Photos Have Been Reformatted into JPEG's.

My Photos Need to be Reformatted into JPEG's.

Yes. I Want a Page Counter.

Yes. I Want a Guest Book.

Yes. I Request a Domain Name.

Yes. I Currently Have a Server (Web Host).

Yes. I Am In Need of a Server (Web Host).

Yes. I Will Require Ongoing Maintenance to My Site



                         







© MMIV Xtreme Artistry
Digital Imagery
Web Site Design