Please contact me...
None of these fields are required. Simply skip over what does not apply to you. Your e-mail is required to submit this form. Thank you for your time and any suggestions you may offer.
I'd like to meet about...
Web Site Creation
Re-Face of a Web-Site
Advertising
Logos (re-work/update or new design)
E-Mail blasts/E Flyer set up
Presentation
DVD
Photos
If it is a web site re-face or update, please enter the site name here:
If you'd like to include details about what you are wanting, you may type as much info as you like in this space. Sometimes it is easier if you type out what you want in word, then copy and paste it.
This is the date I'd like to meet
Note: You specified the day by using the calendar above.
8-9 AM
9-10 AM
10-11 AM
12-1 PM
1-2 PM
2-3 PM
3-4 PM
4-5 PM
6-7 PM
7-8 PM
My e-mail address is:
*
My full Name:
My address:
My phone #
My preference for contact is:
via phone call
via e-mail
If you would prefer a phone call, please tell me...
the best time to call:
Please check what applies
I am a GSDBA member
I was referred by a GSDBA Member
I was referred by another client of yours
I saw your AD in the GSDBA booklet
If you are a referral, please put that persons name here.
I found your web site to be...
easy to navigate
loaded quickly
confusing
slow to load
very informative
dynamic
original
nothing surprising
If you have a suggestion for improvements please write them out and put them here... there is no limit.
Thank you for your interest in having me do some work for you. Simply click the submit button and this message will be sent. You will be re-directed back to the main site and you will not receive a confirmation e-mail however I will contact you after I receive your inquiry.