Afamerica FREE Quote  Request
Please complete the form below, call 1-877-736-1615 or email us contact@afamerica.com

 

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Please Complete This Form for a FREE Web or Marketing Services Quote!

Your Name:
Company:
Street Address:
City, State, Zip:
Phone:
Email Address:
Web Address:

How did you hear about us? SearchEngine Radio Referral Other 
Do you have a web site ? Yes No
Have you registered your domain name ? Yes No
How long have you been in business? 
Briefly describe your service and your company?

What is your main service or product? (generates most of your revenue) 
Do you have a  merchant account (can you accept credit cards)? Yes No
How do most of your customers pay for service?
Cash Check Credit Card Monthly Billing Other 
Do you have the following? (click all that apply, hold "Ctrl" key while clicking)
Brochure FlyerMarketing Plan Businses Card Photos of your product/operation Dedicated Fax Line Customer/Prospect Data Base 
What is the purpose for your web site (if applicable)? (click all that apply, hold "Ctrl" key while clicking)
Dispense Information Take Orders On-LineRecruit Members Raise Funds Add Credibility to the Organization Reach a Larger Audience Gain a Competitive Edge 
Which of our services do you feel closest fit your needs and /or budget? (if more than one, include in comments)
Basic Single Page Design
Executive 5 - 8 Page Design
E-commerce Web Site (sell product online)
Custom Web Design
Audio, Video Web Design
Maintenance for an Existing Site
Web Advertising (banner ads, search engines, etc)
Marketing Services
Media Buying
Graphic Design Services (Brochure, Flyer, Ad, etc.)
Sales Training / Seminar
Other 
 
If you would like to come in for a FREE 30-minute consultation or if you have comments or other information that you feel will help us help you, please indicate below: