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	*Name:
	*Email: *Verify Email:
	*I would like a Website so I can...
	*What kind of service do you need? Web site design only Web site with a maintenance plan Help with an existing site Help with everything, like domain name, hosting plan, etc. Other:
	*Do you have a name for your website? If so, please advise. Yes No Other:
	*Do you own the domain name for your site? Yes No I don't know Other:
	*Do you have a host for your site? Yes No What is a web site host? Other:
	*What colors would you like for your site?
	*What menu items would you like for your site?
	*Would you like a Yes No What is Flash?
	*Please select all the additional features you would like for your Website? Audio Streaming     Video Streaming     Audio Clips (only)     Video Clips (only)     Photo Gallery Forms  Tracking System     Payment Gateway   Online Merchant Account  Animated Menu FAQ Page  Calendar   Guest Book   Message Board   Custom Banner   Password Protected PagesOther:
	*Are there any other special requirements needed for your site?
	*Please provide the web site address of the site you would like to emulate.
	*How did you hear about LMC Production? Referral Search Engine Word of Mouth Other:
	Any additional questions or comments?

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