Web Site Survey
Thank you for your interest in Baystate Web Studio.  Filling in this form does not obligate you in any way.  It
is a simple and efficient way for me to get the answers about your web needs and determine a
course of action that I could recommend.

How did you hear about Baystate Web Studio? 
Classified Ad   A Friend  Google  Link from Another Site

I am interested in the Gold Medal Plan.

How would you best describe yourself or organization?  Individual Small Business Large Business School Government Agency Medical Hotel/Restaurant Healthcare Religious Non Profit Professional None of Above

To further describe please type short description of yourself or organaizaiton.

Do you have an existing web presence?  Yes  No

If 'Yes', what is the current address? 

Please describe your needs concerning your potential web presence?

             Name        

              Phone #   

                   email