Contact
Information:
Company Name: (Required)
Contact Name (Required):
Physical Address:
City:
Province:
Zip:
Phone:
-
Fax:
-
E-mail (Required):
I found you:
Friend
Website (Please list below) Existing Customer Family Stumbled across
you
About your Company:
What industry is your business?
Do you currently have marketing
materials?
Yes No
Who is your target market for this
website?
About the Website:
Do you currently have a website?
Yes No
If yes, what is the address?
What is your desired completion date of the
website?
What is your purpose for the website?
Site
Layout:
Which pages do you want included on your
site?
Other Pages (please list the names of these
pages):
Total Number of Pages:
Main
Sub
What are your color preferences (esp. what
colors are you using in current marketing materials)?
What are your font preferences (Verdana,
Times Roman, Arial, Helvetica, Georgia) ?
Background preferences (solid color,
texture, border, pattern, watermark?)
Do you have your logo in electronic
format?
Yes No
Do you have the content written for the
site?
Yes No
Do you have the images/graphics you wish
for the site?
Yes No
Do you want audio or video streaming on the
site?
Audio Video Both
Which pages?
What is the overall impression you want to
give your visitors? (High quality merchandise, elegance, sense of
humor/fun, professionalism, etc.)
Hosting and Domain Names:
Do you have a host selected?
Yes No
Would you like us to host the site?
Yes No
Do you have your domain name purchased?
Yes
No
What domain name would you like?
Keywords:
What are some keywords you'd like us to use
when submitting you to the search engines? Try to choose words that
the average person would type in to look for similar businesses.
Other:
Any other comments/suggestions?
Validation:
Security Code:
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