CONTACT INFORMATION

First Name:*

City:*

State:*

Zip:*

Phone:*

E-mail:*

Best Time To Call:*

Daytime
Evening

I am looking for...*
( Please give us brief summary of your project)

Web Site Usage:

Business Use
Personal Use

I am interested in a web quote because:

Also interested in:
( Click all that apply)

Graphic Print Design
Logo Design
Database Development

WEB SITE DEVELOPMENT DETAILS

Kind of work
you need:

New Site
Site Update

Type of Site:

Purpose of Site:

Do you need your
web site hosted?:

Yes
No

When do you need the web site completed?:

Select One... As Soon As Possible Within Two Weeks Within One Month Within Three Months Within Six Months Flexible

Our Current site is:
(if applicable)

DESIGN RELATED

Web Site URLs to
sites that you LIKE:

Your Target Market's average age:

Select One... Under 18 18-25 26-35 36-50 Over 50

Your Target Market's gender?

Select One... Mostly Males Mostly Females About 50% Male/50% Female

YOUR COMPANY WORKFLOW

How often to you think your web site will change content?:

Select One... Seldom Once or twice a year Every couple of months Once a week Daily

who will be making these changes:?

Select One... I will maintain the site Someone else will maintain the site We will hire you to maintain our site

If you will be making the changes, how will you do this?:

which page(s) to you see being updated the most?:

Select One... the site will not change once up Just the home page 2-3 different pages 4-5 different pages 6-10 different pages 11-20 different pages the entire site

E -COMMERCE

Will you be selling items and/or services online?:

Yes
No

Number of different products/services you will be selling online:

which payment methods will you accepted:?
(check all that apply)

Visa
MasterCard
Discover
American Express
PayPal
Other

Do you have a Merchant Account?:

Will you be processing credit cards?:

Select One... No Yes, I will be doing this manually Yes, I want this to happen automatically

How will you handle State Sales Tax?

Select One... I want this to happen automatically Let buyer pick their own state tax I will be responsible for this billing

Where will you be selling to?:

Select One... US Only US and Canada Only International

How will you ship?: (check all that apply)

US Mail
UPS
FedEx
Airborne
Other Carrier

How will you charge for shipping?

Select One... Flat standard rate to anywhere Separate flat rates to different areas Based on weight Based on Distance

List as many pages/sections as you can. Separate each page with a comma. Try to list them with the most important/essential pages first and the least important/optional pages last

(example: Home, Services, Programs, Contact, About, Pictures Of Our Office )

WEB-SITE FEATURES

Which features would you want to see in your web site?
(Click all that apply. Realize that adding more features to a site will increase the scope and cost of the project. Therefore, try to limit yoru sectiosn to the features that are MOST impportant to you. If you do NOT want a certain feature OR you are unsure what a particular feature is, please leave it unchecked. We will be more than happy to explain these features to you once we receive your preliminary information)

ADDITIONAL INFORMATION

Please include any additional information that will help our web site developers better fulfill your request.