Stokers' Ink On-Line

Serving Southern Ontario since 1997.

The following form has been designed to collect some preliminary information that will aid and expedite your communication with us. None of the fields below are mandatory but completing as much of the form as possible will allow us to better address your needs.

Information submitted on this form is kept strictly confidential. Stokers' Ink On-Line does not trade, sell or otherwise distribute information collected from clients and/or website visitors.

You can expect to hear back from us relatively quickly. All submissions are addressed within 24 hours of being sent. We look forward to hearing from you.

Getting Started with Stokers' Ink On-Line
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First Name: Last Name:

Company Name: Phone:

Position: Email:

Street Address: City:

Province: Postal code:

Current website address (if any)?

What is the nature of this contact?

Please check any/all selections that apply:

Internet Services

You would like us to host your domain:

You would like us to register a domain for you:

If yes, what domain name you would like to register?

You would like us to design your website:

You would like us to redesign your website:

You would like us to develop a web application:

You would like us to develop an on-line database:

You would like us to develop a Flash application:

You would like a consultation about Internet Services:

Data Services

You would like us to develop a database application:

You would like us to develop an on-line database:

You would like us to an intranet database:

You would like a consultation about Data Services:

Network Services

You would like us to fix your current network:

You would like us to maintain your current network:

You would like us to enhance your current network:

You would like us to build a network:

If yes, how many workstations will be needed?

If yes, what services do you require from your network?

Internet Connectivity:

Data Services:

Electronic Mail:

File Sharing:

Web Services:

Application Services:

Storage:

Other:

You would like a consultation about Network Services:

Evaluations

You would like us to evaluate your hardware needs:

You would like us to evaluate your software needs:

You would like us to evaluate your network needs:

You would like us to evaluate your internet needs:

You would like us to evaluate your current website:

You would like us to evaluate your data systems:

You would like us to evaluate an online product:

You would like us to evaluate an online service:

You would like a consultation about an evaluation:

Consultation

You would like to schedule a consultation based on
the above selection(s):

You would like a consultation based on the
notes/comments you are submitting below:

Notes/Comments:

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Copyright � 2007 by Stokers' Ink On-Line