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(Choose one)	Email     Phone
How did you hear about us?
Do you currently have a web site?	No  Yes, here:
...and can you update it yourself?	No  Yes
Type of site you need:	Informational (Content Management) Ecommerce (Content Management with Shopping Cart)
Number of pages:	Select Number of Pages or Products 1-5 6-10 11-25 26-100 Unlimited
Any features you are particularly interested in?	Special forms Social Networking (Twitter, Facebook) Updated Web Design Better Security Standards Blog on my site Updated eCommerce Functionality Video Incorporation Update my own content Slideshows Drop-down (DHTML) Menus Flash Other:
Do you have a website budget? If so, it's:	No Budget $2,500 - $3,000 $3,000 - $4,000 $4,000 - $5,000 $5,000 - $7,000 $7,000 - $10,000 over $10,000
Please tell us the goals of your new site: For example: selling products, sharing information, looking professional, a WOW design, easier checkout process.
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Dive In Designs, Inc.
Website Design
110 East 14th Avenue
Eugene, Oregon 97401
541-868-1254 | Email Us