|
Business Name (if any):
|
|
|
|
Name:
|
|
|
|
Address:
|
|
|
|
City:
|
|
|
|
State or Province:
|
|
|
|
Zip:
|
|
|
|
Country:
|
|
|
|
Phone:
|
|
|
|
Email:
|
|
|
|
|
|
|
Type of website: |
|
Business website
Non-profit
website (churches, charities,
sports organizations, clubs etc...)
Personal
website (resumes, weddings,
holidays, events, family, etc...)
|
|
|
|
|
Your current site (if any):
|
|
|
|
|
|
|
What services do you want?
|
|
New website
Re-design current site
Add to current site
Re-design and add to current site
|
|
|
|
|
Estimated number of pages (if known):
|
|
|
|
|
|
|
What types of features would you
like? (shopping cart, guest book,
discussion forums, bulletin boards, mail forms,
calendars, surveys, etc...)
|
|
|
|
|
|
|
Do you know of sites that are
similar to the type of design you want? What do
you like about them? What do you NOT want on your
site? (not required)
|
|
|
|
|
|
|
What is your estimated budget (US
dollars)? (not necessary but helpful)
|
|
|
|
|
|
|
Do you have a specific deadline
for the project? (If so please
specify a date.)
|
|
|
|
|
|
|
Additional comments & questions:
|
|
|
|
|
|
