Request Web Services Info from Solstice Web
You are under NO obligation by filling out this form.
This is not an actual order, just a questionaire.

Name:
E-Mail Address:
Phone Number:
Where did you hear about Solstice Web?:
**If you already have a web site click here  

Do you have your "Domain Name" registered already?		 Yes  No
What type of "Image" are you wanting your website to convey? Please select one:
Please select one which describes the "budget" you had in mind for your website:
Number of pages (approx):
What "keywords" would describe your website? (list up to 20 & use commas)
Will you need space on the Internet to "host" your website? Yes  No
Please provide the URL of your current site http://

What services will you be requiring?

Redesign Ecommerce
Form Processing Maintenance/Changes
Membership Login Blog
If this is for Ecommerce Capability please describe below how many products, etc.
Please select one which describes the "budget" you had in mind for your website additions:
Is there anything not mentioned above that you would like to include?

We will contact you through the e-mail address you provided above within 48 hours.