This form is long. Answer as many or as few questions as you wish. The only thing we absolutely need is an email address to contact you with. If you don't want to answer a question, or don't know the answer, feel free to leave it blank or just say you don't know. Of course, the more information you give us, the better prepared we will be to give you an accurate quote, and to build you a winning website that will meet your needs. Name :   Company :   Address :     City :   State/Province :   ZIP/Postal Code :   Country :   Daytime phone :   Evening phone :   Email :   Existing Website :   Need a site facelift, minor changes Need an extreme makeover, new content, new pages Want to add e-commerce or other functionality to current site. Building a new site from scratch. Existing Domain :   I have a hosted domain name, URL below. I have a hosted domain name, but would like to take advantage of your free hosting. URL below. I've reserved the domain name below, but haven't hosted it yet. I don't have a domain name yet. I'd like the domain name below. What's a URL? URL :   Website purpose :   Yes No Don't know Selling products online Selling services online Providing information or services to existing customers Providing information, services, or functionality for employees Selling online content, files, or downloadable software Providing free content, but selling banner advertising Not selling anything, information only Products and services :   If selling products or services online, approximately how many products will you be offering? If possible, please briefly list product categories and the approximate number of products in each category. Credit cards :   Do you have a merchant account for processing credit card payments? Yes No Doesn't apply Your business :   Please give us a brief description of your business. How do you envision your web site fitting into your business plans? Website content :   What categories of information would you like to include in your website? Do you plan to host: Yes No Don't know Mailing list or newsletter Forum or bulletin board Chat room Do you have a logo to include in the design? Yes No Do you have a brochure, catalog, menu, etc. to incorporate into the design? Yes No Is there another web site online whose look or feel you like? Yes No URL: What do you like about this site? Format :   How will you transmit content to us for your site? Email/ FTP Disc Print Need original content Don't know Doesn't apply   Text Graphics Time frame :   When would you like your website to be completed? Budget :   What is the approximate budget for the development of your site? under $500 $500-$1000 $1000-$1500 $1500-$2000 $2000-$5000 $5000-$10,000 over $10,000 Comments :   Please include any other comments or questions that you think would be helpful in designing your site:
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