Netsouth Computer Services (BRANDON, MS) 601-954-2023

Use this form and try to provide as much detail as possible so we can accurately assess your needs. We will also follow up with you after we have completed reviewing your iintial requirements. There's absolutely no obligation of course, so feel free to use this form just to get an idea if you like.

Name..........................................
Email..........................................
Company.....................................
Address......................................
City...........................................
State/Zip.....................................
Phone........................................
Fax...........................................

Site Design Information

What is the Primary goal of your web site? ...........................................
When do you anticipate needing your site on-line?........................................
What is your web site development budget?.......................................
Approximately how many pages do you think you will need with your site?........
Do you anticipate needing a shopping cart? ..........................................
Will you need to accept credit card payments online?............................
Do you need dynamic / interactive material with your site (e.g., Discussion Board, surveys, polls, chat, etc.)..................
Do you require portions of your site be designed in Macromedia FLASH?...........