Tekmedia - Digital Solutions

July 29th 2010

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Business Services

	·	Web Design

	·	Graphic Design

	·	Direct Mail

	·	Printing

	·	eMail Marketing

	·	CD Business Cards

	·	Web Advertising

Technology Services

	·	Web Hosting

	·	eMail Packages

	·	Web Applications

	·	Onsite Services

	·	Security Analysis

	·	Streaming Media

	·	FTP Space

	·	Traffic Analysis

	·	SEO

	·	Data Recovery

DIGITAL SERVICE REQUEST

Request

Please provide some basic information regarding your request for web design services. This way we can provide you with a base price immediately - without the hard sell and inflated sales strategies.

Choosing a Web Design Plan will give you a base price for us to develop your site. 50% of this price will serve as your non-refundable deposit. The total cost will depend on the additional technology and level of customization that you require
(to be calculated based upon further discussion).

Once this information is completed, press the "Submitt" button below.

Your Domain Name

Domain Name:

http://www.

Hosting Account Status with Tekmedia

Web Design Features:

Web Hosting Plan

Hosting Plan:

Your Internet Presence Objectives: (please list)
Closest Competitor Web Sites: (please list)
Your Target Audience: (please list all demographic information)
Special Technology Required: Note - we will setup additional technology free of charge, however there is a $45 per hour fee to customize it to fit the look and feel of your site. (you may make multiple selections)
	Streaming Media	Shopping Cart	Flash Page
	Forum	Referral System	FeedBack Form
	Guestbook

Other Comments or Requirements:

	Your E-mail Address: ^*
	E-mail Address Again: ^*

You need to enter your e-mail address above. We will send the account setup confirmation to this e-mail address. Please enter and confirm the E-mail address provided to you by your ISP. Proceed to "Submit"

Do NOT use the Back Button... check all entries before continuing