Web Business FEEDBACK Form!

Please Tell Us Your COMPLETE Thoughts On Starting Your Web BUSINESS.

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Web Site URL*
Web Site URL*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone

Business Phone*
Business Phone*

Fax

These are my INTENTIONS ( check all that apply):

	A. I do NOT intend to start at all.
	B. I DO intend to start --and NOW.
	C. I intend to start SOON (1-2 mo)
	D. I MAY start later (6-9 mo)
	E. I am NOT SURE -I have questions.
	F. Please SEND ME A RATE PROPOSAL!

These are my General REASONS:

	1. See NO value at all
	2. Like it - but have questions
	3. Very Confused--HELP!
	4. Love it! Let's Get GOING.
	5. Love it -- but......

I think I can supply enough information for a START of:

	a. 5 pages -- very minimal.
	b. 10-20 pages -have pics/brochures
	c. 20 plus pages - I have tons.
	d. I WANT a STORE too! 20 items.
	e. I WANT a Store 100-300 items
	f. I want s Store --LOTS of items
	g. NO need for a STORE.

More Detailed COMMENTS! Please explain your ENTIRE reasoning completely. Include at the end what you want OUR next step to be with you. THANK YOU.