Welcome To WorxTech Hosting Solutions

Your Name:	(Required)
Company Name:
Phone Number:	(Required)
Fax Number:

Email Address:	(Required)
Does your company have an existing website? If so, please fill in the URL:

Project Questionnaire
(Please be as detailed as possible.)

1.	What would you like your website to do for you? (Showcase products/services, increase sales, reduce advertising cost, distribute info, provide customer service, attract advertisers, etc.)
		(Required)

2.	What is the purpose of your website?
		Information dissemination Company and/or Product promotion E-commerce Other: (Required)

3.	Who are your company's closest competitors? (If they have a website, please provide their url.)
		1. URL: 2. URL: 3. URL: (Required)
4.	Please give three (3) descriptive words that would reflect your site.
		(Required)
5	How did you find us? (If you were referred by someone, please list their name and email address so that we may thank them.)