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Web Request Form
Completing this questionnaire provides us with information and does not obligate you to anything.
Required fields marked with *

1. General

  • Please give a name for your project:

  • Please describe your project.
 

2. Sections

  • List the major sections that you would like to have in your site:
  • Examples:
    1. Members Login
    2. FAQ
    3. Contact Us

3. Model Sites

  • COLOR: Specify one or two model sites that show us the color combinations you like.
  • LOOK AND FEEL: List one or two sites with a "look and feel" that you want for your site?
  • SITE ORGANIZATION & LAYOUT: List one or two sample sites which have a similar organization (navigation) and layout to the one you want to develop.
  • FEATURES: Please list all the features/facilities that you would like the website to provide your visitors. To help us understand better, please include a sample site where you saw the feature.

  • Examples:
    1. Payment
    2. Chat
    3. Security
    4. Shopping Cart
  • ADMINISTRATION: Please list all the features/facilities that you would require as site administrator

4. Content

  • TEXT: Which of the following best describes the availability of text content for your site?
    Use the content of our present site.
    We will provide you with the content in electronic format.
    We have brochures and other literature which you can use to develop the content with our guidelines.
  • Other-Mention here:
  • GRAPHICS: Do you have any graphics/logos/pictures that you would like us to use?
    Yes      No       Dont Know/Can't Say

5. Technical

  • What URL do you plan to use?

  • What server technology does your hosting company use?
  • Please help us understand the purpose of your web site:
    General Commercial Online Brochuere Educational
    Online Sales          Online Exhibit     Online Catalog
    Community Forum   Non-Profit          Informational
    Other
  • Briefly describe the objectives of your web site:

6. Tell us about yourself

  • Your Name*

    Designation

    Address

    Company Name*

    Company Address

    Phone number*

    Fax

    E-mail address*

    Describe your business and the number of years in existence
     
    Present URL (if any)

7. Help us serve you better

  • Can you please inform us how you found us on the net
  • By what date would you like to launch your site?
  • Verification Code *


               

 

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I was very satisfied with LANSERVICES service. The staff at LANSERVICES did a terrific job of creating my application quickly and to my specifications. I am definitely going to use them in the future.

Irit Halperin
Available Locksmith Inc.

 

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