Contact information:
First name:	* required
Last name:	* required
Email address:	* required
Company:
Mailing address:
City:
State:
Zip Code:
Contact Phone: (Include area code)
Website Info:
Yes No	Do you have a logo?
Yes No	Do you have a domain name already secured?
If yes, what is your domain name?
If no, what address would you like to have? List up to three names in order of preference.
In addition to the Home page, what pages and elements would you like included in your new website?
Services	About Us (separate page that goes into more detail about you and your business)
News	Events Calendar
Weblog	Contact Us (with or without a form)
Testimonials	FAQs
Other pages or elements desired: (Please seperate by commas) List them here
List the web addresses of other websites that you like the look & structure of so I can get a visual idea of what it is that you like:
http://
http://
http://
http://
http://
Please list all your questions or comments below.  I will contact you for more information and details.  Once the required deposit is made, your site will be started on right away.   List questions, comments, and additional info here
Once your 50% deposit has been received, we will begin work on your site.  Our preferred method of payment is Paypal.   If you have not already made your deposit, we will e-mail you a Paypal invoice as soon as we receive your questionnaire. If you would rather send us a check, please make the check payable to Solutions Virtual Assistance by Lisa and send to:   Lisa Ann Rodrigues P.O. Box 46 Wailuku, Hawaii  96793   Mahalo!! We look forward to working with you!

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