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Web Site Request Form

All requests will be promptly followed up. Filling out and sending this form in no way obligates you to use spacehoppa.com. It is simply a tool to gather information about your needs. Rest assured that any information you give is held in strictest confidence and will only be used or viewed by spacehoppa.com.

Thank you for your request!
You will be contacted shortly (usually within 24 hours) to discuss the details.
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Alternatively, if the form seems too daunting, why not pick up the phone now and speak to a real person. Our telephone number is: 01270 766001.

Prices: Find out what we charge

CONTACT INFO:	Your name:

	Company:

	Phone:

	Email:

	Address:
			(FULL mailing address)

	Best time to contact:

COMPANY INFO:	Give us some background about your company and its products and services. Be as detailed as you can:
	(products, services, mottos, goals, audience, etc.)

	Is your company a subsidiary of a larger corporation? No Yes: Which corp?

	List as many key words and short (2 or 3 word) phrases as you can think of which describe your company and its services:

HOSTING INFO:	Do you already have a web hosting company? No Yes: Which hosting company?
	What type of server does your current host use? Don't know Windows NT UNIX Other

	Will you want your own domain name (www.yourcompany.com)?
	No Yes: First choice:
	Second Choice:
	Third Choice:

GOALS:	Target Launch Date:

	For which reasons do you need a web site? (check all that apply)
	Improve company image Promote a new business Improve customer service Increase company exposure To keep up with technology	Sell products over the Internet Market a product line or service Make it easier for customers to find us Provide news and updates to our customers

	Any other reasons for needing a web site:


	What is your budget for this project? £

SITE INFO:
	What size site do you think you'll need?
	Don't know 1 - 4 pages (small) 5 - 9 pages 10 - 20 pages (medium) 21 - 30 pages more than 30 pages (large)

	Roughly how often do you expect your site's content to change?
	Don't know Daily Weekly Monthly Less than once a month

	Which special features do you think you'll need? (check all that apply)
	Guestbook Hit counters Live Audio streaming Live Video streaming Secure Server			On-line product ordering Customer survey/feedback forms On-line credit card processing On-line product search capabilities

	If you will be selling products online, approx. how many items will you be selling?


	Any other special features you'll need?


	Can you provide any of the following? (check all that apply)
	Company Logo Company graphics or artwork Text and wording for site content Computer files on disk or CDROM (pictures, text, data, etc.) Photographs, slides, negatives

	Are there any web sites that you'd like yours to look like? Enter the web addresses (URLS) below:


	Any additional comments or requests:
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