Name: Title:

Company Name:

Web Site Address (URL):

Your email address:

How long has your Web Site been operating?

How are you promoting your Web Site & to what market?

Do you currently track visitors to your site?  YES  NO

If YES, what tracking method do you use?

Please enter up to 6 Keywords you would like used to see where you are ranked on all the major search engines:

Is your web site accomplishing the goals it should be?  YES  NO

Would you like marketing suggestions? YES  NO

Do you feel your web site needs a "face-lift"?  If YES, What would you change?   If NO, please leave blank:

Are you satisfied with the current support/maintenance you receive from your web development/hosting company?  YES  NO

Please explain:

Do you have any additional questions or concerns you would like addressed and answered regarding your Web Site, promotions, how to increase traffic, etc...?

By selecting the SUBMIT Button below we will provide you with a complete analysis of your Web Site as well as answers to any additional questions, concerns or needs Absolutely FREE of Charge - forms must be submitted prior to February 15, 2002 to take advantage of this offer.

Your site will be reviewed by a panel of web designers, marketers and Internet Consultants that have over 25 years of combined experience and expertise.

As stated above:  The information you supply will be held in strict confidentiality and your contact information will not be used or sold.