Hosted Communications Request Form
Please complete the following request form to obtain more information on our hosted communications services. Please note, your privacy
is important to us and this information will not be shared.
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| Contact Information |
| (Required) Your Name |
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| Company |
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| Phone |
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| (Required) Email Address |
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| Web Site |
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| General information about your company |
| 1. Provide a brief description of your Web communication needs. |
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| 2. How often do you use e-mail? |
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3. Do you use e-mail in business?
(select all that apply) |
Other:
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4. Who uses Internet access at your place of business?
(select all that
apply) |
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| 5. Does your business have a Web site? |
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If not, how much do you plan to budget for the initial
development? |
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| (OPTIONAL) For businesses that have a Web site |
| 1. Who develops and maintains your Web site? |
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2. Who defines how your Web site is applied to your business?
(select all that apply) |
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3. Who updates the information on your Web site?
(select all that apply) |
Other:
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4. How do you use your Web site?
(select all that apply) |
Other:
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| 5. Do you use e-mail lists to broadcast messages to a large audience? |
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| 6. Are you satisfied with the results of your Web site? (select all that
apply) |
Other:
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