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Featured Site
1st National Merchant Services
www.1stnationalmerchant.com
Please complete the form below to learn more about our services.
What is the purpose of your website?
Number of pages anticipated on your site?
Simple business website
Advanced business website
Accept credit cards on-line
I just need a place to host my site
1-5 pages
6-10 pages
11-20 pages
21 plus pages
What kind of a budget do you have for your website?
Do you currently have a website? If yes, what is the URL?
less than $500
$501 to $1,500
$1,501 to $4,000
$4,001 to $8,000
$10,000 plus
Yes
No
Would you like your website registered with the major search engines?
Do you currently have a domain name registered?
Yes
No
Yes
No
Contact Name:
Company Name:
Phone Number:
Email Address:
How did you find us?
Choose One
Search Engine
Surfing
Referral
Magazine Ad
Previous Client
Other
Comments/Questions:
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