CIN NET: Web Development

Financial Grant Application Form

Web Development & Design

Computerese Information Network (cin.net) in partnership with HYPERMETRICS, welcomes you to the Information Super Highway. Our Web Development Service requires the completion of this form for us to give you the best price possible, for Web Development that is founded on strong Human Factors and Ergonomic principles conducted by Research experts in the field. All web design packages are custom designed and developed. No two themes are alike.

You may fill in the following form on-line or you may download the signup form and download a Brochure for more information. If you have questions regarding this from, please call 847-310-1188 or email us at: sales@cin.net or HYPERMETRICS.

Note: Your name, address, and phone number must match your credit card billing address for us to charge your credit card. If they do not match, we can not charge your credit card and open your account!

Personal Details

Full Legal Name: *
Company Name: *
Address: *
City: *
State: *
Zip: *
Home Phone:
Work Phone:		Extension:
Driver's License:
State Issued:
Birth Date:
Current Login System:
Current IP Address:

Please TYPE IN the following:

Web Specifications

Background of the Website (Its goal, mission etc.): *
Clientele/Specific User: *
General computer ability of the clientele: *

Please Describe The Type Of Tasks Needed:

Web Tasks

Informative: *
Interactive (form submission, downloading, anything that the user inputs): *
Multimedia (Audio, Video Clips): *
Real-Time Tasks (Bulletin Boards, Blogs): *
Search Engines: *

Other Required Specifications

Graphic Pieces (Logo Design etc.): *
Web Maintenance (If Required): *

Operating System Information

By clicking on the "Submit" button, you agree to follow all Cin.Net User Policies as stated in the User Policies documentation, and be bounded to the payment terms above.