Name: Title: Company: Address: City, State, Zip: , . Phone number: Fax number: E-mail Address: Required
Do you currently have a web site? Yes No
If yes, What is the URL?
If no, When do you plan to have a web site built? Not certain Within the next 30 days Within the next six months Within the next year
What type of Service are you seeking from 1st Tech? Full service solution Web site management Graphics Consultant Training Hosting solutions Other
Which web site plan you are interested in? Package one - 1 page - $199 Package two - 3 pages - $399 Package three - 5 pages - $499 Package four - 10 pages - $899 Customized Web Site - $50/hr Need a consultation - contact me
Any questions, comments, or suggestions
Have a 1st Tech representative contact me Yes No
