CONTACT INFORMATION
First Name:*
Last Name:*
Company Name:
Address 1:
Address 2:
City:
State:
Zip:*
Email Address:*
Phone:*

Type of website development needed
What type of web service/s are you looking for?

New website design
Upgrade existing site
Update existing design
Maintain existing website
Existing Website URL:

Website Purpose
What is your website purpose? What would you like to accomplish?

Establish a presence
Provide information
Provide service
Virtual community
Intranet/Extranet
Sell products
Other (please specify):

Web Site Examples
List the websites that you like.

Example:

URL 1:

URL 2:

URL 3:

Web
Design Style

What web site style are you looking for?

Don't know
Contemporary
Artistic
Business Oriented
Futuristic
Fun
Experimental

Do You have a Logo?

Yes
No, but would like one
Don't Need one

Number of static pages
Static pages are considered to be web pages that need to be edited individually. If you are looking for users to be able to interact with your site or would like to have a content management system -- a database driven website -- please select this option further down the form.

Don't know
Max 5 Pages
5-10 Web Pages
10-20 Web Pages
20-50 Web Pages
50-100 Web Pages
100+ Web Pages

Flash Animation
Do you want animated elements in your site?

Don't know
Just a little animation
An animated introduction
Complete Flash website

Website Maintenance
How would you like your website updated?

I would like to maintain the website myself
I would like acontent management system
I want someone else to maintain it

Additional Functionality
What else would you like your website to do for you?

Sell products or services through a shopping cart

Do you currently accept credit cards?

No
Would like to
Yes

Provide a membership system
Sell Classified Ads
Allow people to communicate through a forum on your site
Provide an online directory with search capabilities
Provide online customer support
Other (please specify):

Search Engine Services
What search engine services would you like?

None
Submission to major search engines
Search engine optimization & submission to major search engines

Website Hosting
Do you need website hosting?

No
Yes


What is your budget per month for hosting?

Not Applicable
Under $5 per month
$5 - $10 per month
$10 - $15 per month
$15 - $20 per month
$20 - $50 per month
$50 + per month
Number of Website Design Versions
How many different versions of your website would you like to choose from?

1 Version
2 Versions
3 Versions
4 Versions
5+ Versions

Description
Please describe in detail how the website will be or is currently used. Also, please list the overall function of your organization, ex: the products that you sell, the services you provide. This will help customize your website to your business.

ADDITIONAL INFORMATION
 
Web Design Budget

What is your total estimated budget for this web design project? If you are seeking a more complex site, pricing will be higher than that of a small website.

Under $100
$100 - $500
$500 - $10,00
$1,000 - $2,000
$2,000 - $3,000
$3,000 - $5,000
$5,000 - $10,000
$10,000 +

 
Requested Launch Date

When would you like the web design project to start?

ASAP
In one weeks
In two weeks
In one month
In two months
In three months
In six months
Send me Copy of Mail

Would you like the copy of mail?

Send me copy of mail


 
 
 
 
 
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