W.H. Thomas Computer Services, LLC

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Website Design & Redesign Request Form

Fields with an * are required.
*Name:
*E-mail:
Company:
*Do you currently have a webpage?	Yes No
If so what is the address(url)?
*Are you looking for a completely new website or redesign of an existing site?	New Website Redesign
Are you interested in multimedia Flash applications for your site?	Yes No
Are you interested in graphic design and/or logo design/redesign?	Yes No
*Summarize briefly what you are looking for: