Schedule a Consultation for Web Services

If you'd like to have a Web Services Consultation to discuss your online opitons,
please fill out the form below.

	* Please enter the phrase to your left in order for the form to send
* Business Name:
Business Description:
Contact Information
* Point of Contact Name:
* Preferred Contact Number:
* Email Address:
* What is a good time to contact you :	Day Any day of the week Monday Tuesday Wednesday Thursday Friday     Time Morning Afternoon Either
Business Address
* Address line 1:
Address line 2:
* City:
* State:
* ZIP:
If you already have a website
What is your current site ?	http://
How old is your current site?
Who updates your site?
Web Questions
How many pages do you think you might need? 1 Page 5 Pages 10 Pages 15 Pages More Than 15 Not Sure
Are there any specific functions that you will require your website to perform? i.e. - Registration form (data capture). Private client login ( special client areas which require login and password).
Are there any websites you feel are a good example of how you'd like your site to look or function? Please list here.
Which of the following web services are you interested in? Web Site Design & Development   Other Hosted Services Professional Design   Email Marketing Self Editing   Domain Registration Search Engine Optimization   Web Hosting Ecommerce   Standard Email MLS Realtor Tools   Exchange Email Custom Application   Sharepoint
Where did you hear about Corsica Technologies? - Google, Newpaper, Phonebook, Business Associate, etc...
Additional Comments

Support & Services

Web Design

• Annapolis: 410.263.6113
• Baltimore: 410.685.2727
• Centreville: 443.262.9290
• Easton: 410.770.9544
• Kent Island: 410.604.2898
• Middletown: 302.376.5765
• Salisbury: 410.543.4422