Pepie LLC: www.pepie.com

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Service Request

Tell us about your goals and we'll help you find a solution. Complete the following questionnaire to have a staff member contact you.

We look forward to working with you.

Organization Information

Company/Organization Name:

* Use owner name for personal projects.

Business Type:

Address:

City:

State:

Zip Code:

Business Phone:

Business Fax:

Web Address:

http://

Contact Information

Contact Person:

Contact Title:

Contact Phone:

Contact E-mail:

Best Time To Contact:

i.e. Tuesdays, 3:45pm or Anyday, 3:45pm, by phone.

Project Information

This Request Is For:
A New Project A Makeover Maintenance

Project Overview:
Please provide a brief description of the project. Be as detailed as possible and be sure to include the project's key features and primary audience.

Deadline:

Budget:

Feature Overview

I will need the following features/services:

Guestbook	Online Profile	Graphics
Mailing List	Database Interaction	Interactive Calendar
Membership System	Payment Processing	Reporting System
Online Store	Record Keeping	Wireless Accessibility
Online Registration	Customer Management	Invoice Management
Content Management	Document (download) Management	Press Release Management
Other Functionalities: Please Describe:

Hosting & DNS Information

Will you need web hosting? Yes No

Will you need domain name registration and/or transfering: Yes No

Comments

How Did You Hear About Us:

myPepie