New Customer Information Form

 

FortuneBiz.com New Customer Information

Become a Client:
FortuneBiz Internet Services is a leader in custom web site design and development. By filling out this form you can receive a free, no obligation, quote on an internet solution that will fit your needs. The information you provide here is strictly confidential and is only used for our records. 
Please fill in all the fields. Thank you.
See Web sites we've developed and Read Reviews and Testimonials
 

Today's Date

Business Owners Name(s)
Please list additional owners in the description box.

Company Name

Company address

City, State, Zip code

  

Office Phone

Office Fax

Email

Current Web Address

What type of business?

How long have you been in this business?

If this is a startup Internet business, never online before, please tell us what your background is.

Briefly describe your current business. What you expect from being online? What are your goals?

Please select all the services you need.

 New web site needed

 Graphic Design of Logos

 Animated Banners

 Site promotion is needed

 Profit & Loss Statement Development

 Online Marketing

  Database for information retrieval is needed

 Improvement of existing site is needed

 Hosting is needed

 Shopping Cart

 Corporate ID Design

 eCommerce Credit Card Acceptance

 Graphic Design Web promo cards

 Product Photography

 Business Plan Development

 Traditional Marketing

 Trade Show Display Design

 

When do you want your new web site completed?

What is your budget for the web site?

Who referred you?

If you found us in a search engine, Which one?

Please list (4) four competitor Web sites that you like for content or look and feel.
Need help finding your competitors try searching GOOGLE or YAHOO
 then paste the URL into the (4) four fields below.

Competitor Web site #1

Competitor Web site #2

Competitor Web site #3

Competitor Web site #4

For us to understand how many pages you'd like for your Web site please give us a directory of the content you want for your Web site. We have started the directory list for you.
You can add or delete from the current list.

Please choose one

Thank you for your time in completing this form.
We will respond to you within 24-48 hours

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