Prospective Clients Interest Form

**Prospective Client Interest Form**
Have you read the service descriptions yet? Read them here before you complete this form.

First Name		*
Last Name		*
Email		*
NCSU Office / Division / Department
Phone		*
Website URL


Select the bundled services you are interested in

		BUNDLE 1: Website Development & Design + Logo ($1800)

		BUNDLE 2: Website Development & Design + Maintenance Contract (Starting at $2000)

		BUNDLE 3: Website Development & Design + Maintenance Contract + Logo (Starting at $2200)

Or...select the individual services you are interested in

		New Website Development & Design ($1600)
		Logo Development & Design ($400)
		Accessibility Review (Free)
		Accessibility Issue Corrections ($35/hr)
		Annual Maintenance Contract (Starting at $600)
		Web Application Development & Design (Starting at $2600)

When do you need the work completed by?		(mm/dd/yyyy)

Extra Information

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Orig. Posted: Mon, 10/27/2008 - 13:54 — njyoung.ncsu.edu Last Modified: Thu, 03/05/2009 - 12:03

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