Depending on the scope and details of your project we
may contact you by phone or email. |
Your name: |
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Business name: |
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Type of Business |
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City |
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State/Province |
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Country |
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Email |
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Phone Number |
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Cell Phone (optional) |
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Fax Number |
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Best way to contact you: |
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Size of your company |
Small Medium
Large |
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Project
options: |
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Please list any ideas or preferences
you have for design or style: |
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What primary colors would you like for your
website |
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What other sites do you like that are similar
to the type of design you want? |
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1. 2.
3. 4. |
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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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If you would like to add any extra
functions please check them
below: |
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Sign up / Login Feature |
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Blog |
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Public Chat |
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Newsletter |
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Chat with Sales Representative |
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Photo Gallery |
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Opinion Poll |
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Shopping Cart |
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Guestbook |
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SSL Encryption |
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Search Box |
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Member Only Access |
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Forum / Discussion Board |
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Secure e-mail |
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Link Indexing Technology |
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Secure Reservation or Contact form |
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Reservation System |
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Content Management System (CMS) |
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Inventory Control |
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Document Management |
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Document Management |
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Accounting |
Other |
Other |
Other |
Other | |
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A Little about You |
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Which 2 are most important to you?
Please ONLY select 2 of the 3 options below
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Time Cost Quality |
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Please give a brief description
about your business |
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What are your long and short-term
goals as a company? goals for the website?
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Describe the Product(s) and/or the
Service(s) you offer? |
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What are the most frequently asked
questions about your product/service? |
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What is your target
audience? |
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Would you like your web site
accessible by: |
Devices (PDA's, Phones etc.) |
the visually impaired |
Other special requirements:
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or (choose which one best
describes your current and/or potential target audience)
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Preferred Start
Date |
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Projected Deadline
Date |
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