| First
Name: Nombre |
|
| Last
Name: Apellido |
|
| Email: |
|
| Address
(Street / Number) Calle y Número |
|
| City:
Ciudad |
|
| State:
Estado o Provincia |
|
| Country:
País |
|
| Phone:
Teléfono |
|
| Fax |
|
| Company
Name Nombre del Negocio |
|
Type
of products or What kind of business ?
Tipo de productos o que tipo de negocios ? |
|
| Primary
Function: Please check all that apply
Promotional ,
Promocional
Demo
Sales
Presentation ,
Presentación
Entertainment,
Entretenimiento |
Travel Agency
E-Commerce / Shopping Cart
Instructional / Training
Other |
| Will
this be a new or update site? / será un sitio
nuevo o
desea una remodelación. |
|
| Do
you have a current
website?: Tienes un Website activo
?
Yes
No |
| If
you answered "Yes" to the above question, what is
your website address so we can take a look at it?:
Dirección
del Website |
|
|
|
Do you have
an idea
on how many pages you want the site to be?: Cuantas
paginas
necesitas ?
|
|
Purpose
/ Objectives: Please briefly describe your
interactive project.
Proposito / Objetivos, haga una breve descripción del proyecto. |
|
|
| Will
you be supplying the text for the
site?: suplirá
usted el
texto:
Yes
No |
| Will
you be supplying graphics for the
site?: Las gráficas
:
Yes
No |
| Will
you need secure order forms on the
site?: nesesita un sitio de
seguridad?
Yes
No |
| Do
you currently have credit card merchant
accounts?:
Yes
No |
| Will
this Website be use to provide information and costumer
service
only?
Yes
No |
| Will
you be selling items on the
site? va usted a vender
algo?
Yes
No |
| Would
you like your Website in several
languages? quiere
varios
lenguages?
Yes No |
| whose
languages ? Cuales? |
Do
you have any important comments that you would like to mention
which
may be applicable?:
Usted tiene un comentario importante que podria ser
aplicable al
Website? |
|
|
List
some Website addresses that you find attractive on the
Internet. (
i.e. www.???????.com)
Liste algunos Website que usted encuentra actrativo en la
Internet. |
|
|
List
3 Domain names you would prefer as your Website address
Liste por lo menos 3 nombre que le gustarian para su Website. |
|
|
| Please
select here if you are looking for a simple website (ie. HTML,
graphics,
simple web forms - but no programming like .CGI, PERL, JAVA,
ASP, PHP
and/or database work). Usually US $300 - $1000
Seleccione el boton si usted lo que
desea es
un website simple , si programaciones como PERL, JAVA, ASP, PHP,
CGI
o trabajos en programacion para bancos de datos y shopping cart,
Usualmente es un web site de $ 300 a $1,000 |
| Please
select here if your Company requires a more
complex
website (ie. HTML, graphics, as well as databases,
programming, and
scripting). Usually US $1500 and up.
Seleccione el botón si su negocio
necesita
un Website mas complejo Ej. database, programacion y escritos,
Usualmente cuesta sobre los $ 1,500 |
|
|
I'm also interested
in
: Yo también estoy interesado
en:
|
|
|