E COMMERCE
SHOPPING CART
SECURE ORDER FORM
WEB DESIGN
WEB HOSTING
contact us
To find out what we can do for
your
company, please either
e-mail
us or use the form below, or call our office at (916) 983-9585, or write us at Capitola Works PO Box 1602 Folsom, CA 95763-1602 USA
Name:
Email Address:
Company:
Address:
City:
State:
Zip Code:
Country:
Phone Number:
Type of Business:
Existing Web Site?
What do you have in mind?
eCommerce
Shopping Cart
Secure Order Form
Web Design
Web Site Hosting
Other
What is your budget range for this web project?
$1,000 - $2,000
$2,000 - $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
Above $100,000
Do you prefer a reply by
email
phone
fax
snail mail
How did you hear about us?
Recommended by a Client of Capitola Works
Word of Mouth
Magazine / Newspaper Advertisement
Television Story
Newspaper Article about Capitola Works
Yahoo!
Web crawler
Alta Vista
Excite
Infoseek
Other Search Engine
To help us respond better, let us know a little more about your expertise
not very familiar with the internet
somewhat knowledgeable about the internet
experienced internet user
already have an internet site
Please tell us what you have in mind:
