General Information
First Name:
Last Name:
Title:
Company:
Street Address:
City:
State:
Zip:
Country:
Daytime: ( ) -
Fax: ( ) -
E-Mail Address:
Corporate Information
What is your organizations primary business activity?
Manufacturing
Finance/Banking/Accounting
Insurance/Legal Services/Real Estate
Government
Education
Health Care
Wholesale/Retail
Publishing
Retail
Other - Please Specify
Please Specify:
How did you find out about us?
Newspaper - Please Specify
Magazine - Please Specify
Internet - Please Specify
Direct Mail - Please Specify
Trade Show - Please Specify
Recommendation - Please Specify
Other
Please Specify:
What are your company's Web Site Plans?
We currently have a web site.
We are planning on having one within the next 30 days.
We are planning on having one within the next 3 months.
We are planning on having one within the next 6 months.
We don't have any plans for a Web Site.
What are your company's Intranet/Extranet Plans?
We currently have an Intranet/Extranet.
We are planning on having one within the next 30 days.
We are planning on having one within the next 3 months.
We are planning on having one within the next 6 months.
We don't have any plans for either an Intranet or Extranet.
What is your company's budget for developing your Internet Solution(s)?
not established yet
less than $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
over $500,000
Company Size?
Under 100
100 - 500
500 - 1000
over 1000
What services are you looking for from Digital Ink?
Web Site Development
Intranet/Extranet Development
Intergrate Existing Backend System to Internet
Graphics Design & User Interface
Web Site Hosting
Design Consultation
Other - Please Specify
Please Specify:
What is your role in the Internet Project?
I am the information gatherer
I am the project manager
I am a developer
I am the decision maker
What stage are you in your decision process?
I am gathering information on how to deploy an Internet solution
I am determining the need for an Internet Solution
I am evaluating various firms for our Internet Solution
I am evaluating whether or not we should do this in-house
I am ready to begin development of the Internet Solution
Comments, Questions, or Suggestions:
How would you like to be contacted? Phone
Fax Material
E-mail