:::: LaunchMyWeb.com ::::

Company Name:
First Name:
Last Name:
Email Address:**
1. Will you need a domain name registered? Yes No
2. Do you need a website hosting provider? Yes No
3. Who is your primary audience for the web site?
4. List any special requirements needed for the site?
5. E-commerce/Pay-Pal functions needed? Yes No
6. Do you already have a company logo? Yes No
7. Do you already have a functional web site? Yes No
8a. If, Yes - Enter Address
9. Approxmitly how many pages will the site contain?
11. Are there any existing web sites that you would like to use as guidelines for style on your new website?
12.How did you hear about LaunchMyWeb?


Whats your commodity investment?
	Gold
	Silver
	Copper
	Platinum
	Neither