Computer Demystification & graphics
WebSite Request Form

Required Fields marked with *)
*Company
*Name
*E-mail Address
*Your Phone:
 xxx-xxx-xxxx
Site
Details


What are your company's three colors:
(click in the fields below and a color grid will appear allowing you to select the color)

Primare color:
Second major color:
Accent Color:

List the top ten things that make your company a better
choice than your competitors (unique):


List the top five keywords or short phrases that a
potential customer might type into a search engine
to find a company of your type:


Comments:
Secret Code*: You must type the code shown in the image below
(this prevents SPAMMER robots from abusing this form
)there are twio numeric characters in it.
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Logo File
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Other artwork
up to 200Kb




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