A Sample Order Form
Please supply information for public use only.
PLEASE PRINT
Client:
Type of business:
Contact Address:
Contact Phone:
Web site address:
Email contact:
Operating System:
PC
MAC
other 		Genre:
traditional
yesteryear
futuristic
contemporary
other 		Overall tone:
Dark
Light 		What are the preferred colors?

What basic information should be included in the whole site?

Company Logo Available
yes
no 		Digital Images Provided?
yes
no 		If original images are requested, please explain.

FOR INTERNAL USE ONLY
Contact Name:
Contact Phone:
Current Server:
Domain Requested?
yes
no
Sales Rep:
Assigned to:

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