Your Business or Company Name:

Your E-Mail Address:

Your Day-Time Phone Number:

Your Fax Number (optional):

Your City and State:

Your Web Site Domain Name or Address:
Fill in: http://www. (your company name.com)

Are you the project contact person?
Yes No

Check the preferred method for us to contact you:
E-Mail Only Telephone Only E-Mail or Telephone

Please describe your Web Site Project in as much detail as possible.


Select the service(s) needed, check as many as apply to your Web Design project:
Business Web Site Design - Small to Mid-Sized Business
Re-design an existing Business Web Site
Web Site Development
E-Commerce Web Site Design
Personal Web Site Design
Non-Profit Web Site Design
Domain Registration and Setup (Registration, Application and Redirecting)
Provide Hosting Services (Domain and/or Web site)
Provide Site Maintenance Services (Updating, Search Engine Submittals, etc.)
Online Shopping, Secure Transactions or Shopping Cart
Flash
Streaming Audio/Video and/or Music on the Web Site
Chat
Other Services Required (See Below)

If "Other Services Required", explain:




What type of site are you developing? (Check all that apply.)
Retail Informational Community-based

What are your specific project objectives for your Web Site?

To provide designers with an indication of what you're looking for, list up to 3 Web sites of your competitors and/or URLs you like.

Tell us about your company/business (i.e. products, services, retail, wholesale, etc.)
Describe your products/services you sell and the customers you serve.

If you are developing a retail site, how many products (SKUs) do you plan to sell online?
Please select one 1 - 25 Items 25 - 50 50 - 100 100 - 250 250 - 500 500 - 1,000 1,000 - 5,000

Describe a theme or color scheme for your Web Design project?

What key messages to you want to convey on your Web Site?

Who is your target audience for this Web Site?

What is your project time line?

How will you measure this Web Design project's success?

Estimate the number of pages needed:

Estimate the number of scanned images needed?

Who will provide the graphics for your project? (If applicable)
Client   FD    Third Party

Who will provide the scanned images?  
Note: We recommend .tiff, .jpg, .bmp formats. Minor editing is included.

Client   FD    Third Party

Who will provide the copy (text) needed?  
Note: 1,200 words per page and in .doc or .txt formats preferred. Minor editing is included.

Client   FD    Third Party

Add any additional details about your project.

Where did you hear about us?
Referral Internet Search Engine Other

If "Other", please describe:

Any other comments: