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Please enter the information below and submit to Chandos Designs. We look forward to seeing your requirements, and getting back with you to discuss them in more detail.

We will keep all information supplied by you confidential and not release it to any third party.
NOTE: Should your browser not support interactive forms, you can e-mail us at:

Personal Information

First name e-mail address
Last  name *Fax #
Home address *Day Phone
City *Evening Phone
Prov/State *Note: Please provide area code
Country Personal information in bold red is required so that 
Chandos Designs can reach you, regarding your work requirements. 
Postal/Zip

Web  Page Requirements
Please complete the information below as best as possible. Feel free to add as much detail as you
wish, as this will help give us a better understanding of your requirements. Thank you.

1. Which of the Package Plans meets your needs:
If OTHER, please explain:

2. What is the budget for your web site?

3. In what time frame does your web site need to be completed?

4. Would you require your domain to be registered? A domain is giving your site a
     unique name on the internet. For example: http://www.yourcompanyname.com:
Yes No

5. Will you be supplying  graphics for your web site? Yes No Will not need graphics.
    If YES, how will they be provided? : Hardcopy Floppy Disk Zip Disk Via on-line

6. If graphics are being supplied by either floppy disk, Zip disk or on-line; in what
    format will they be: GIF JPEG GIF & JPEG Other
If OTHER, please explain:

7. Will you need digital photos for your web site? Yes No Not sure yet.
    If YES, how many do you estimate you'll require: 1-5 6-10 10-15

8. What type of business best describes your web site?
    Entertainment Health Recreation & Sports Retail Service Other
If OTHER, please explain:

9. Please identify some web sites that best reflect the' look and feel' of how you'd like your web site to appear on the Internet:


10. Will you be supplying text for your web site? Yes No

11. How do you wish to be contacted? E-mail Phone Fax
 If by phone, what's the best time to call you?

What day of the week is best to reach you?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

12. Other information not covered in this form that we need to know about your web site:

©
 Copyright Chandos Designs
Last revised: December 30, 2001

| About Us | Development | Art Palette | Pricing | Contact Us | Site Map |