July 25, 2008 HOME SERVICES SUPPORT COMPANY CLIENTS CONTACT

To have BorderNet Technology contact you regarding our Web Development Services, fill in our questionnaire form. After our staff reviews the information, we will then contact you with a free, no obligation consultation.

Information marked with an asterisk is required (*).

Is this site for:
You or Someone else

Are you the business owner? 
Yes No
Do you currently have a website? Yes No
Website Address:
What do you want to accomplish with this site? (check all that apply)
Corporate Image Market Expansion Information Delivery Product Distribution
Promotional Events Online Mail Order Online Sales/Shopping
Other:
Who is the audience? (check all that apply)
Existing Customers Existing Potential Customers New Potential Customers Company Employees 
Other:
Can we use existing text and graphics content? (check all that apply)
Brochures Graphics Pictures Information Sheets Other 

Type a few sentences that describes your business:
Do you wish to have a data-driven or e-commerce web site? Yes No
In the spaces below list the web sites that reflect the quality and design that you would like to achieve within your site. (We will not copy the site, but us it as a general guide only)
Request three domain names (www.yourcompany.com) and we'll check on the check on the availability of them.  (If they are not available, we will suggest some close alternatives)
Please provide any additional information or comments you can give us about your Web site development project:

Name*:

Title:
Organization:
Address:
City, State, Zip:
Phone*:
Fax:
Contact Email*:
 

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