Web Solution Questionnaire
Organization
Contact Name
Title
Address
Phone
Fax
Email
How did you hear about Plaxsys.com?
Select Services you are interested in
Website Design & Development
Logo Design
Graphic Designs
Web Hosting
Custom Design
Search Engine Optimization
Mobile Website Design
Website Maintenance
Who will be the contact person(s) for your project?
Phone
Email
What is your projected budget for this website?
What is your deadline for this project?
Would you prefer the project broken down into phases?
Yes
No
Domain information
Do you have a domain name for your website
Yes
No
Domain name:
Would you like us (www.plaxsys.com) to secure a domain name for you?
Yes
No
If you response is "Yes" please list possible domain name(s) you will like us to secure for your if a available.Please list as many possible names you can thinks of:
Hosting Information
Do you have a hosting plan for your website ?
Yes
No
If no would like us (www.plaxsys.com) to secure a hosting plan to host your website
Yes
No
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