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We Help YOU Design Your Own Web Site
Web Site Consultation
Initial Contact Information

The World Wide Web is a vast resource of information with a tremendous variety of sites. We at PKWebSiteCreations™ believe: You are unique and your Internet presence should reflect that!! We work with YOU to create a custom site that best showcases your church, synagogue, pastoral counseling center, psychotherapy practice, medical clinic, or small business. (We do not handle large businesses.  We believe those can be best developed "in house.")

Using the form below, please tell us about your organization, your current marketing program and the goals you have for your web site. This will give us a starting point to develop a proposal for the most effective and affordable Internet marketing package for you. Please print the completed form and mail to us at: PKWebSite Creations, 200B Beverly Rd., Ashland, VA 23005, USA.

We will then contact you, as you direct below, with cost and time estimates.

All of your information is held in strict confidence. No names and/or information is sold or distributed in any way.


--- INFORMATION FORM ---.
Contact Information: ( *Indicates a required field.)
First Name*
 Last Name*
Company*
 Title
Postal Address and Phone:
Street Address 1*
 Street Address 2
City*
 State*
 Country
 Zip Code*
Telephone-Business*
 Telephone-Home
 Telephone-Fax
Internet Addresses:
Email Address*
Confirm Email Address (please enter same address)*
URL (WWW Home Page -- if you now have a Web Site)
Future Contact:
How do you prefer to be contacted for additional information?*
Email Phone Fax Postal Mail
Info About Your Organization:
What is the type of your organization?*
Church Counselors Other Professional Business
Site Information:
Tell us more about the nature of your organization:
Who is your target market or likely site visitor?
Will you need a secure server for online sales and credit card
transactions/contributions? Yes No
Do you currently have a Marketing/Public Relations Campaign?
Yes No
Will you need us to design or redesign your organization's identity?
Yes No
Estimate of your future web site size: *
Your expected time frame: *
Are your interested in (check all that apply)
New Site Design & Construction
Current Site Redesign
Photography of Your Location/Staff/Members
Scanning Your Photos, Logos, etc.
Posting Newsletters and/or Bulletins on Your Site
Site Maintenance/Updates
Site Hosting
Site Promotion & Marketing
Additional information about your organization and online goals
Click this button to

If this button does not work on your computer
you can go to "File" and "Print"

Then mail completed form to:
PKWebSite Creations™
200B Beverly Rd., Ashland, VA 23005, USA
 

Clear Form




     


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SITE INDEX

| Home Page | Site Development | Site Graphics | Site Photography & Scanning |
| Site Redesign | Site Promotion, Updates & Maintenance |
| Pricing & How to Contact Us | Initial Site Information Form | Links | Examples |


Last Updated March 20, 2011 by:
PKWebSite CREATIONS™
We Will Help YOU Design Your Own Web Site!

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We are now deleting all email except from existing clients.
If you wish to contact us, please use snail mail:
PKWebSite Creations™, 200B Beverly Rd, Ashland, VA 23005, USA

Copyright © 1997-2011 Dr. Prentice Kinser III, all rights reserved.