E-Business Assessment Inquiry Form
Web Hosting Inquiry Form
Web Site Development Inquiry Form
Web Site Promotion Inquiry Form

 

Web Site Development Inquiry Form

To help us better understand your needs please complete the following questions. An asterisk (*) indicates a required field.

Contact Information

*Name:
*Company:
Web Site URL:
*Email Address:
Phone Number:

Does your company currently have a Website?

Yes No In Process

If yes, please enter your URL:

If No or In Process, please list the products and services your company offers.


Please list the functionality you would like included in your web site:
E-Commerce
Customer Relationship Management
Supply Chain Management

Informational
Estimation
Customer Self-Service
Collaboration
Lead Generation
Other


Please provide three words or phrases that describe the image or feeling you would like your web site to convey.



Please list your top three competitors:
http://
http://
http://


Does your company have a catalog?
Yes No

If yes, how many items are in the catalog?
1-100 101-500 501-1000 greater than 1000


Number of Employees:

1-50 Employees 51-100 Employees 101-200 Employees
201-400 Employees More Than 400 Employees


Company Revenue:

1-10 Million 11-30 Million 31-50 Million
51-100 Million More Than 100 Million


Please provide any additional information that is relevant.


Thanks for your interest in E-Commerce Technology of Western Pennsylvania!

 

 

 

E-Commerce Technology of Western Pennsylvania
1168 Washington Pike, Suite 252
Bridgeville, PA 15017

 
Telephone - 724.228.3585
Fax - 800.935.9291