Name:
City:
State:
Phone:
Best Time To Call:
Email:
Have any websites?	Yes/No
Provide their URL's
Confident computer user?	Yes/No
Confident internet user?	Yes/No
Any web design knowledge?	Yes/No
Any graphic art knowledge?	Yes/No
Have you done sales before?	Yes/No
Would you visiting local businesses?	Yes/No
Would you consider a magnetic sign for your car or truck?	Yes/No
Do you have a paypal account?	Yes/No
Any Questions or Message?