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Contact Information Prerences (please select all that apply):	Work Telephone Home Telephone Cell Telephone Other Telephone During work week business hours Work week evenings Saturdays Sundays E-mail and Telephone Contact Telephone Only (no e-mail) E-mail Only (no telephone calls)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Project/Account Information Scope of project or issue (please select all that apply): I have an existing MEGMIND® account or website by MEGMIND®  Business Website Website Design  Personal Website Website Maintenance Domain Name Assistance Website Hosting  Graphic Support   E-commerce or Shopping Cart Database Applications  Programming and/or Other
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Approximately when would you like your project to be completed?	--- Please Select One --- ASAP Within 2 Weeks Within 1 Month Within 2 Months Within 3 Months Within 6 Months 6 - 12 Months Greater than 12 Months
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