| * Name: |
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| * Phone: |
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| Email: |
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| Business Name: |
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| Title: |
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| Location: |
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| Nature of business: |
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| Current web site if you have one: |
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| If you have a preferred domain name, enter it & we will check its availability:
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| Is this a new site to be designed or a redesign of an existing site?:
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New
Redesign
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| Have you seen a site that you would like yours to resemble? Type in the website address: |
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| What would you like to accomplish with an on-line presence?
Check all that apply:
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Provide Information
Entertain
Sell
Improve Customer Service
Provide Employee information
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| Check all that you want to include on your site:
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Separate contact page; put all your contact info in one place. Add a feedback form for your site visitors to easily submit information.
Company profile page; about the company, message from owner, etc.
Photo(s) of business exterior/interior; building, shop, showroom, etc.
Photo(s) of employees/staff.
Separate product page.
Online Catelog
Affiliate logos and links.
Submission forms.
Background music.
Bullentin Board.
Chat Room.
Shopping Cart.
Web Calendar.
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| Approximately how many pages do you anticipate the site having?:
TIP: Divide into categories to determine the estimated number of web pages.
Example: Main, Contact, Products, Services, Product Category(s), Order Form=6+ pages
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| Appearance Options, Color or Design Preference: |
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| Who will maintain your site?:
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Home & Office Computer Services
Someone within your company
Combination of both
Other
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| Additional services: check all that apply.
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web hosting.
Domain email accounts.
Search engine submission.
Monthly updates.
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| What is your budget for this project?
Please note: Answering this does not determine the maximum pricing of your web site but allows us to work within your budget.: |
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| Who will be the project manager?: |
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| Any other requests or comments?: |
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| How did you hear about us? |
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