Our Team
 
Contact Information
Your Name: 
Email: 
Phone #: 
How did you find us?: 
 
 		   
Business/Organization Information
Name of  Business/Org: 
Your Position: 
Type of  Business/Org: 
 
Is this a new Business/Org?  No   Yes
How long in business?  
   
Address: 
City: 
State:    Zip:
  
 		   
General Information
Do you have a logo?   need a logo?   Or, need a logo redesign?
 
Do you have a domain name now?  No   Yes 

If Yes, what is it?

If No, then is there domain name(s) we can check on for availability?
 
Do you have a website now?  No   Yes 

If Yes, what is it?

If Yes, who hosts now?
Would you like for us to host your website? No   Yes 
  
Who is your target audience?
What is the purpose for this site?
Are there websites you'd like for us to look at, that you like?  
If so, please list here:  
Estimated number of pages for your website?

  
Database and Interactivity
Do you know if your web site will require a database of other type of interactive functionality?
No   Yes 
 
 
Additional Services and Features to Add to Your Web Site
Please check a box next to the feature/services you would like to have on your site.
Animation
Blog
Bulletin Board
Chat Room
E-Newsletter
Files for Download/Printing
Flash Development
Forms
Password Protected Area
Video / Audio
Virtual Tours
Other
     Explain any above:
 
 
Time and Budget
What is the time frame for development of this web site?
 
 What is your budget? $
 
  
E-Commerce
Are you going to be selling services or goods from your site? 
No  Yes
If so, how many estimated products?
Do your products have attributes? (Ex. Small, medium, large - black, white, yellow, etc.) No  Yes

Requests / Questions / Comments:


This form will be emailed directly to a web consultant and they will contact you within 1 business day to schedule a meeting time.