Please use this form to give us some
specifics about what you would want in your website. When we receive
your form, if we have questions that we need answered before we can
prepare a quote, we will e-mail you.
What To Provide for a Web Design Request
Name
Company Name
Address
City, State, Zip Code
,
Phone number
Fax number
E-mail address
How long have you been in business?
Years
If you have an existing website:
URL
What web design services do you need? Click one:
Site makeover , only minor content changes
Makeover, with some additional content and pages
Add E-commerce to existing site (shopping cart/online ordering/realtime
online credit card processing)
New site design, new content to be used, at existing domain
New site at new domain
If a new domain is needed, what domain name do you
want?
http://www.
.
com
net
org
Please describe your business.
How do you see a website fitting into your business
plans?
What purpose(s) will your website serve?
(check all that apply)
Selling products and/or services online
Advertising brochure or portfolio
Providing information and service to existing customers
Running an affilitate program
Selling banner advertising
Selling subscriptions to online content or downloadable
software or files
Providing info to and communication with and among your
employees
If selling products/services online, please
list product/service categories and approximate number of individual
products/services in each category.
Credit Cards
Due to increasingly stringent rules of credit card merchant
accounts, you will need a merchant account that specifically allows
online use if you wish to take payments through your web site. Do you
have a credit card merchant account that you will be using for processing
payments for your online store?
Yes
No
If the expense of setting up your own credit card merchant account,
when you're just starting out is too much, there are inexpensive to
setup services such as Paypal, Propay, and other third-party processors
that may work for you.
Other website content:
What categories of information would you like to provide
in your website?
Do you want to publish an online or e-mail newsletter?
Yes
No
Website graphics
Do you have a company logo that you want to incorporate
into the website design?
Yes
No Do you have any current print materials that you would
like adapted to the website, such as brochures or catalogs?
Yes
No
Scheduling
What is your desired website completion date?
Hosting
What arrangement will you need for hosting your website?
Stay at current location , which is:
Need web hosting
Budget
What is your approximate budget for development of your
website?
Under $500
$500 - $1000
$1000 - $1500
$1500 - $2500
How
did you find us?
Any other comments or questions?