Feedback Form

Initial Consultation!

There is never a charge for a consultation.

If you are interested in having 62c.com create a website for you, please fill out this form and submit it. If you are not sure of an answer, you may leave it blank, but please try to answer as many questions as possible. This will give us both a more accurate idea of cost and time involved.

	Your Full Name:
	Name of your Business:
	Your E-mail Address:	Please verify that this is typed correctly so that we can contact you!
	Your Phone #:
	Your Address:
	How many pages do you think you will need?	Keep in mind that this will depend on your amount of copy, forms needed, and other factors.
	Do you need:	Design of a new site Redesign of an existing site
	If you want a redesign, what is your existing URL?
	Brief Description of your Business:
	How many different products or services do you offer?
	Do you already have a host for your site or would you like us to host it?	Already have a host Send me hosting info
	Do you have all existing photos and graphics?	Yes No
	Will you require our scanning services?	Yes No
	Will you need custom graphics?	Yes No