Please complete the following
information to initiate a request to Journey Information Technology
for web design services. A
reply to your request will be sent to you within 48 hours.
Mailing Address:
Phone #: Home: Business:
Fax #: Home: Business:
Approximately how many pages will
your site require?:
Approximately how many graphics
per page:
Yes
No
Do you require any of the following?:
Logo Design:
Other Graphics Design:
Scanning/Digital Photos
Forms:
Sound Files:
Video Files:
CGI/Database:
Hit Counter:
Guestbook:
Would the web site need
maintenance?:
Have you seen any other web
sites which you would like yours to resemble, or which you
like the style of?:
1:
2:
3:
4:
5:
Would you prefer?:
free
web site hosting, or
pay
for your own registered domain
Do you have an approximate budget
for developing the web site: Cdn$: or US$:
If you would like to meet face to
face, please suggest a date, time and place below (I will always
confirm first): Date: Time: Place:
How did you hear about us?:
Comments/Questions/Feedback:
Let your adventure on the
information highway begin with us
