When are you needing services?
Immediately Within 2 Weeks Within 1 Month Uncertain
What type of Web Site are you Interested in getting designed?
Personal Home-Based Business Business Community, School, or Church Organization Combination
Which Web Site Design Package are you interested in?
Basic Simple Standard Advanced
What Type of Business or Organization is the Web Site For?
Who will you be directing your Web Site towards?
What will the main purpose for your Web Site?
What will the secondary purpose for your Web Site?
Will you be providing any graphic images or logos?
Yes No
Will you need any custom graphics or logos?
How did you here about VIP Consulting?
The Atlanta Journal-Constitution Creative Loafing A Friend or Business Contact VIP Consulting Brochure or Phanplet Another WEB Site
Web address is http:// Other:
Tell us how to get in touch with you and what is the best time to do so?
Name E-mail Tel FAX Time