Name:
Phone Number:
Email Address:
What kind of business do you have?
Are you interested in selling your products online?
Yes No
If Yes, How many products do you want to sell?
None Less than 5 5 to 20 20 to 50 50 or more
What's the best way to communicate?
Phone Email Both In Person
What is your most pressing need for a website?
To have an online presence Increase my customer base Keep customers updated Sell products Other? (Please Explain)
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