Company Name
City
State/Province
Country if outside USA
Your Name, Title
E-mail (required)
Phone

What design and marketing services do you want?
    Design new site. Number of pages
    Re-design current site
    Promote and market site
 
Domain Registration and Hosting

Current Domain Name (URL):

Do you need a domain name registered?
     Yes      No
 
Do you want hosting set up for you?
     Yes      No
 
Purpose of your site:
    Sell products/services online. Approximate #
    Marketing tool to get new customers/clients
    Information resource for current customers
    Provide customer service
           What type of service?
           
 
Size of your company:
    Small business
    Medium business
    Large business
 
Do you accept credit cards?
    Yes      No     We would like to accept cards 
 
What e-commerce services do you want?
     Shopping Cart for approx. (#) products/services
     Site that uses information from our database.
           What type of database do you have?
           
     Opt-in Email newsletter or ezine
     Form for surfers to enter information for data gathering
     Site that surfer can search internally
     Surfers can download software or other files
 
What does your business do? What are your goals for the site?

 
What other sites do you like that are similar to the type of design you want?
What do you like about them? What do you NOT want on your site?

 
What graphics, photos and other art do you have?
What art do you need designed?

 
Will you write the text or will we write it?
    I write it
    You write it
 
Other information:

 
What promotion services would you like?
     Optimize pages so good indexing by engines
     Submit site to engines and directories
     Improve link popularity
     Recommend paid submission and Pay-per-click programs
 
What other marketing services would you like?

 
What is your design budget US dollar?
    $500 to $1000
    $1000 to $3000
    $3000 to $5000
    $5000 to $10,000
    $10,000 to $20,000
    $20,000 to $50,000
    Greater than $50,000
    Or fill in budget USD $:   
 
What is your marketing budget?
    $500 to $1000
    $1000 to $3000
    $3000 to $5000
    $5000 to $10,000
    $10,000 to $20,000
    $20,000 to $50,000
    Greater than $50,000
    Or fill in budget $:   
 
Do you have a deadline when the site must be completed?
    If yes, when:
 

Questions or other information we need.