Professional Web Designer and Developer Contact Center

As a Professional Web Designer and Developer, NetStores is very interested in establishing a relationship with you and helping you use and understand our E-Commerce services should you need them. Additionally, NetStores would like to promote web Professional Web Designers who have worked with our shopping cart system, through our website at www.netstores.com and to our clients. To help us form a link with the Professional Web Designer community, please take a short amount of time and provide us with some basic information about yourself and your Company.

All information is optional and may be filled out at your discretion.

Name
First
Last
Contact Information
E-mail
Company Name
Phone
Fax
Webpage URL
Mail Address
Address line 1
Address line 2
City
State / Province
Zip / Postal Code
Country

Developer Information
	How many years have you worked as a web developer?
	less than 6 months 6 months to 1 year 1 2 3 4 5 or more
	How many websites have you helped to develop?
	0 1 2 - 5 6 - 10 11 - 20 21 - 50 > 50
	What software do you primarily use to develop
	none Macromedia Dreamweaver NetObjects Fusion Adobe GoLive Adobe PageMill Adobe Acrobat Claris Homepage Microsoft Front Page Text Editor Other, please specify
	What other software do you use for website development?
If you work at a web development company:
	How many clients of your company are currently interested in E-Commerce?
	0 1 - 5 6 - 10 11-20 21-50 > 50
	Do you wish to receive occasional e-mail notifications of updates and news from NetStores? (You can change your mind and say no later.)
	Do you wish to be listed on our Web Professional referral program and receive updates and news on that program?