Web Design Enquiry

Your Name:
County/State: Postcode/Zip
Tel Fax
Email WWW

Please tell me a little about your company/organisation.
(hit RETURN at the end of each line)

Please indicate what you would like your web presence to achieve:

Identify New Customers
Sell Goods/Services Online

Provide Information for Existing Customers
Provide Information for Employees
Help Desk (dealing with frequently asked questions)
Raise Awareness/Enhance Corporate Image

(press RETURN at the end of each line)

Please indicate the services in which you are interested:

Web Design
Internet Consultancy
Website Set-up and Management
Website Make-Over
Domain Name Registration
Website Promotion (Traffic Building)

Thank you for completing the form.

Print form and post it to the address below

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keithjones.net - Trinity Parsonage - Hardwick Square East - Buxton - Derbyshire - SK17 6PT
tel: 07813 449521 - email: mail@keithjones.net - web: www.keithjones.net

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