| Basic Information |
| Name*: |
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| Title: |
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| Company*: |
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| City: |
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| State/Province: |
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| Country (if outside USA): |
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| Email Address*: |
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| Phone: |
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| Domain Registration & Hosting |
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| Do you need a domain name registered? |
Yes
No |
| Current Domain Name (URL): |
example: http://www.your-domain-name.com |
| Do you want hosting set up? |
Yes
No |
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| Background & Objectives |
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| What does your business do? |
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| Size of your company: |
Small
Medium
Large |
| What are your goals for the site? |
Sell products/services online.
How many products do you have:
Marketing tool to get new customers/clients
Information resource for current customers
Provide customer service.
What type of service?
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| Services Required: |
Design new site. Number of pages?
Re-design current site
Promote and market site |
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| Additional Services |
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| Do you accept credit cards? |
Yes
No
We would like to accept credit cards |
| What features (functionality) or services
do you want your site to have? |
Shopping Cart.
Approximate products/services:
Site that uses information from our database.
What type of
database do you have?
Opt-in Email newsletter or ezine
Collect surfer information for data gathering
Site that surfer can search internally
Surfers can download software or other files |
| 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/pay-per-click programs |
| What other marketing services would you like? |
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| Web Site Look & Feel |
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| What other sites do you like that are similar to the type
of design you want? |
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| What do you like about them? |
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| What do you NOT want on your site? |
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| What graphics, photos and other art do you have? |
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| What graphics, photos and other art do you need designed? |
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| Web Site Content & Scope |
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| Will you write the text or will we write it? |
I Will Write It
You Write It |
| Other information: |
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| Additional Information |
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What is your design budget?
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$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 Specify:
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| 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 Specify:
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| Do you have a deadline when the site must be completed? |
If yes, when:
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| Questions or other information we may need: |
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| Please Enter The Verification Code Below |
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