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Web Design Contact Form
If you are interested in our web design services, you can help us get a better feel for your project by submitting the form below. Only the 'name' and 'email address' fields are required.
Contact Information
Name:
Title:
Company:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone:
Fax:
Email:
General Information
Do you already have a domain name?
Yes
No
What is your current or intended domain name?
Do you already have an existing website?
Yes
No
If yes, what company is currently hosting your site?
How much do you currently pay per year to host your site?
What is the objective of your web presence?
E-Commerce
Increase Market Exposure
Informational
Entertainment
Personal
Educational
Other
If other, please explain.
Provide a brief description about your site.
Are you going to be
accepting credit cards
on the website?
Don't Know
Yes
No
Do you already have a merchant account?
Yes
No
Who is going to be the key contact on the project?
If you are planning an E-commerce site, how many products do you plan to exhibit?
N/A
1 -- 25
26 -- 50
51 -- 100
101 -- 150
151 -- 200
200 -- 250
250 +
Do you have marketing literature already?
Yes
No
Do you have computer
copies of your marketing literature?
Yes
No
How are you currently connected to the internet?
Dial-up
ISDN
DSL
Cable
T1
I'm not connected
Approximately where does your budget for this website fall?
Don't Know
1 -- 3000
3001 -- 5000
5001 -- 10000
10001 -- 20000
20001 -- 50000
50001 -- 100000
100000 +
Is there a deadline date that needs to be met?
Yes
No
If yes, what is that deadline(mm/yy/dd)?
Web Design Information
About how many sections
or pages would the site
contain?
Is the site going to be predominantly static or dynamic?
Don't Know
Yes
No
Are you going to need
custom designed artwork?
Don't Know
Yes
No
Are you going to need photos scanned?
Don't Know
Yes
No
Is your site going to have password protected areas?
Don't Know
Yes
No
Is your logo saved in digital format?
Yes
No
Do you know the fonts used to create your existing site?
Yes
No
Do you have the original graphics files in Adobe Photoshop or similar format?
Yes
No
Hosting Information
How many concurrent users are you expecting to hit the site?
Are you going to need video or audio?
Don't Know
Yes
No
How many e-mail accounts do you need?
Are you going to need auto-responders?
Don't Know
Yes
No
How much disk space will
you need?
Will you need to modify the site without affecting the current live site?
Don't Know
Yes
No
Are you going require database access to store information?
Don't Know
Yes
No
Web Marketing Information
Will you need to submit your site to search engines?
Don't Know
Yes
No
Will you need help researching your competition on the web?
Don't Know
Yes
No
Web Administration Information
Are you going to need to analyze the usage of the site?
Don't Know
Yes
No
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