Contact Information Name :   Email :   Phone :   Adress :   City :   State :   Zip :   Age (optional) :           Company & Site Information Name of Company :     Type of Business Arts Business Children Computer & Internet Culture & Religion Education Employment Entertainment Money & Finance Food Games Government Health & Fitness HighTech Hobbies & Interests Law Life Family Issues Marketing Media Misc Movies & Television Music & Radio Nature Non-Profit Org. Personal Homepage Pets Home & Garden Real Estate Science & Technology Shopping & Services Society Sports Tourism Transportation Travel X-rated     Number of Employees 1 2 3-5 5-10 10 +   Do you have an existing site? Yes No   If so, what is the address?   Please briefly describe any short-term web goals (optional) :   Please briefly describe any long term web goals (optional) :         Project Details Does your have a company logo? Yes No If so, please e-mail it to "info@TechThrive.com" or let us know where we can view it online : Do you have any specific web color in mind? Yes No If so, please list 3 or 4 colors you would like us to use on your site : If there are existing web sites you would like us to reference before desinging your site, please provide the addresses : Site Example 1   Site Example 2 Site Example 3   Site Example 4 Do you consider expanding your site in the future to include more features such as a blog, shopping cart, chatroom, etc? Yes No Would you like information on possible upgrades to your site? Yes No     Guestbooks Hit Counters / Analytics Message Boards Invite a Friend Link Managers Live Chat / Customer Service Banner Advertising Pay per Click Advertising Affiliate Programs Classified Ads Email Systems / Communication Tools / Internal Messaging Calculators Calendars Contests and Awards Date & Time Document Hosting and Mangement Image Galleries Form Processors Link Checking Link Indexing Match Making Music Libraries Video Libraries Networking Tools Polls & Voting Reviews & Ratings Personal Profiles Site Mapping Site Recommendations Tests and Quizzes Site Search Zip Code Locator's File Sharing Picture & Video Sharing Multiple Listing Services Aficionado Newsletters Pod-casting   Project Budget Under $1,000 $1,000 - $2,500 $2,500 - $5,000 $5,000 - $10,000 $10,000 - $20,000 $20,000 - $50,000 $50,000 - $100,000 $100,000 +   Referred by How did you hear about TechThrive?       If you have existing images, text or other content you would like us to use in the design of your site, please email it to: "info@TechThrive.com".

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