Planet Florida

This form was designed to help gather information to determine the pricing of your web site. Please fill in as completely as possible. We will generate an agreement and e-mail it to you as soon as possible. If you would like to talk to us in person regarding our service please call us at 904-734-3475 - Thank you :-)

First Name:
Last Name:
Business Name:
Address:
City:
Zip:
Phone #:
E-Mail Address:

How many pages do you think it will take to properly describe your business, product(s) or service(s)? We suggest that you start off with at least three (eg. a Welcome or Intro page - A Description page or two - A reference, link or testimonial page are most common). This total should not include the other options listed below.

What will the main function of this site be?
Please check features that are desired for the site:
Hit Counter(s)
Guestbook
WWW Message Board
Custom Graphics
Auto Mail Responders
Feedback / Questionnaire form.
Order Form (1-5 Items)
Shopping Cart System (6 Items or More) -
On-Line Credit Card acceptance /Virtual Terminal
Audio or Video Files
Other Needs Not Mentioned:

Thank You for your input :-)

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