Accounting l Taxes l Business Development l Computer Consulting l Web Design l Real Estate l Mortgages l Home           To better help us provide you will excellent service, please complete the following:     Name:   Title:   Company:   Address:   City:   State:   Please Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zip:   Phone:   - - Fax:   - - Email:     Briefly Describe Your Business:      Why do you want a website (or want to upgrade your existing site?)*      What do you hope to accomplish that you aren't accomplishing now?    Will you be selling products on your website?* (If no, move on to Step 4) Yes     No      How many products will you be selling?      What forms of payment will you accept?      Do you already have a 'Merchant Account' set up (do you currently accept credit cards in your regular business)? Yes     No   How many content pages do you expect to have?      Can you please provide a rough outline of your site? This will help us determine what kind of navigation system is required.    Do you have any specific design styles, colors or fonts in mind for your website?     Do you require Flash or any other animation? Please be specific as to the nature and purpose of the  animation.     Please give us some URLs of sites that you like or want to model your site after.*     Are there any sites that you don't particularly like?   Do you have areas on your website that require daily or even weekly updates? If so, please explain.*     Please select your budget range: Select Range $0 - $500 $500 - $1000 $1000 - $2000 $2000 - $4000 $4000 - $6000 $6000 - $10,000 $10,000 +     Please describe any work that has been done towards designing / redesigning a new website.     What is the approximate timescale of your requirements?*     Please write any additional comments, questions or needs that you may have in the space provided.             Contact Us Toll Free:   (877) 777-MITO (6486)     Telephone:   (813) 835-4333     Postal Address: Fax:   (813) 835-4112     4850 West Gandy Blvd. E-mail:   info@nguyenandcompany.com     Tampa, FL  33611 Website:   www.nguyenandcompany.com         Accounting l Taxes l Business Development l Computer Consulting l Web Design l Real Estate l Mortgages l Home About Us l Contact Us l Legal l Privacy Statement Copyright © 2003 Nguyen and Company. All rights reserved.