Scioto WebTech
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Submit Request

Plase take a few moments to fill out this form and let us know what you need.

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Contact Information:

Company:


Contact Phone:


Contact E-mail:


Contact Name:


Contact Fax:


About Your Requirements:


What is the intent of your Web site?
A basic site to make me visible
A site to sell merchandise (up to 1000 items)
A site to sell merchandise (>1000 items)
An information site (typically a non-profit corporation
A school, church, or private organization
Personal site
Other

About how many pages do you think you will need?


What features do you think you will need?
Database
Search engine
Forum
Administration pages/content management system
Custom graphics
Flash animation or Shockwave animation
Shopping cart
Secure sockets layer
Credit card payments
PayPal payments
A Model-View-Controller architecture

Describe as best you can what the site should look like and what it should do. Feel free to include links to sites similar to what you want, both in appearance and functionality.



My e-mail cannot handle HTML mail, so please send it as plain text.