Contact Information
* Your Name:
* City:
* Your Email Address:
How did you hear about us?
Please Select
MSN
Yahoo
Google
Other Search Engine
Friend (Word of Mouth)
From Other Web Site
URL of your site, if any:
* Phone Number:
Company Size:
Please Select
Home Based
Small Business
Medium Business
Large Business
Is this a new web site or a redesign?
Purpose of Web Site
Please take a few minutes to consider exactly why you want a web site.
Target Audience
Enter any information you might have regarding your potential site visitors.
Domain Name
Do you currently have a domain?
Please Select
Yes
No
If yes, do you have all of the information needed to change your domain record?
Please Select
Yes
No
If you currently do not have a domain name, please use our domain lookup tool to check the availability of a domain name that you are interested in using:
Click Here for the Domain Lookup Tool
If you do not have a domain name, do you have some desired names? If so, please enter them in the space provided.
If no, would you like us to register it?
Select
Yes
No
Company Identity
Do you currently have an official logo?
Please Select
Yes
No
If yes, do you have access to the original files from the designer of the logo?
Please Select
Yes
No
Do you need us to design your logo?
Please Select
Yes
No
Web Design Preferences
Preferred web site colors:
Do you have photos for your web site?
Please Select
Yes
No
Will you require our photography services?
Please Select
Yes
No
Navigation Style
Navigation refers to the type of menus your site will use for visitors to move from page to page.
Do you want a contact form or just a page listing ways to contact you? (Email, Address and Phone Numbers)
Please Select
Contact Page Form
Just simple Text Info
Other Functionality
What other function does your web site need to have? c.
Search Engine Submission
Will you need us to submit your web site to search engines?
Please Select
Yes
No
Will you need web site optimization (SEO)?
Please Select
Yes
No
Web Hosting
Should we setup hosting?
Please Select
Yes
No
Budget
* Design Budget:
Please Select
Under $3,000
$3,000 - $5,000
$5,000 - $10,000
$10,000 - $20,000
Over $20,000
Promotion Budget:
Please Select
$500 - $1,000
$1,000 - $2,000
$2,000 - $5,000
$5,000 - $10,000
$10,000 - $20,000
Over $20,000
Other Questions
Please list a few sites that you like. These sites do not have to be in your industry. We want to get a feel for your design taste and find out what you like.
What is your timeframe for completion?
Please Select
1-2 weeks
2-3 weeks
4-6 weeks
6 weeks or longer
Best Time to be Contacted?
Will you require ongoing site maintenance?
Please Select
Yes
No
Comments or Questions?
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