*
Contact Name |
|
Company
Name |
|
City
and State |
|
*
Phone |
|
*
Email Address |
|
| How would you prefer
to be contacted? |
Email
Phone
Either |
If you currently
have a website, please supply the website
address here. |
|
*
What type of website will you need? |
E-Commerce Website (allows
for the sale of merchandise and/or services)
Informational/Other (Supplies
basic company information, photos and methods
of contact)
|
*
Will you need a domain name registered for
your website? |
Yes, I need a domain name registered.
No, I already have a domain name registered. |
*
Will you need hosting for your website? |
Yes, I need hosting for my website.
No, I already have a hosting provider.
(Please supply the name/web address of host)
|
*
Approximately how many pages you will need
for your website? (Common pages include: Home,
About Us, Our Services, Contact Us, etc) |
|
*
Project Description:
Please describe what you envision for your
website. Also, if you have any specific requirements,
please list them here. |
|
*
What is your projected budget for this project?
(Please be realistic here so that we may better
serve you) |
|
Are there any
existing websites that closely match the functionality
and/or design style you wish to have for your
new website? |
|
How did you hear
about us? |
|
Do you have any
additional comments and/or requirements that
you feel may be important? |
|
|
| |
|
