* First Name:
* Last Name :
* E-Mail Address:
Current Website
URL:
Business Name:
* Telephone Number:
* Your Town/City:
* Your State (or Province):
* Your Country:
* What will be the purpose of your
website?
* What is your business industry?
* What's the size of your
company:
* Please describe your business
services:
* What type of Service do you
need (If you need more
than 1 type of service, please choose the second
option as well. Otherwise just leave
it)?
Web Design & Development
Graphic
Design : Logo Design Graphic
Design : Static Banner Design Graphic
Design : Animated Banner Design Graphic
Design : Flash Animated Banner Design
Graphic
Design : Flash Presentation Graphic
Design : Flash Design (Others) SEO -
Search Engine Optimization Others
N/A Web Design
& Development Graphic
Design : Logo Design Graphic
Design : Static Banner Design Graphic
Design : Animated Banner Design Graphic
Design : Flash Animated Banner Design
Graphic
Design : Flash Presentation Graphic
Design : Flash Design (Others) SEO -
Search Engine Optimization Others
* How many pages would you like for
you site: 1 or 2 Pages
2 to 5
Pages 5
to 10 Pages 10 to 15 Pages
15 to 20
Pages 20
to 30 Pages 30 to 40 Pages
40 to 50
Pages 50
to 60 Pages 60 to 70 Pages
70 to 80
Pages 80
to 90 Pages 90 to 100 Pages
Over 100
Pages I'm
not sure how many pages i need I don't need any
pages
* Do you have a Company Logo?
Yes,
I have a logo you can use for the site
Yes,
but I want a logo redesign - please
quote Yes,
but I want an animated version for site - please
quote No,
I don't have a logo - please quote for a static
one No,
I don't have a logo - please quote for a static
and animated one No, I don't want
a logo I'm
not sure
* Can you provide written text
content for the site?
* Do you need Web Hosting?
* Do you need a Domain Name?
If Yes, enter the name you want:
(i.e:
www.yourname.com)
* Please list any competitor
websites you Like:
* Please list any competitor
websites you Don't like:
What is your site
preferred color scheme?
* How soon do you need your
website live?
* What is your budget for this
project?
* Include any other comments that
will help us understand your specific website
needs (if you have an RFP you can copy and paste
it here):
* How did you find our site?
Please Select One Google Search Yahoo MSN Alta Vista Ask Jeeves Lycos HotBot Overture Freelance
Designers HostSearch.com
Friend
Referral A
Directory Link from other
site Other Other:
* How should I contact you?
