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Website Questionnaire / Enquiry Form

* Indicates required data. Please fill them in.

 
Contact Person Details Contact Information
Suffix *Phone
* First Name   Fax
* Last Name *Email
* Address    
* City    
* Country    
* What line of business are you in?  
Do you have company flyers, brochures, or other literature?
  Yes
  No
Do you have a company logo, or other images and graphics?       
  Yes
  No
Do you have these logos (images or graphics) in digital format?   
  Yes
  No
If yes, what file types (jpg, gif, eps, ai, etc.) are they?              
  Yes
  No
 
Type of website desired
  Medium Business
  Corporate Site
  General Information
  E-Commerce
If redesigning, please list the website URL:
Will you require maintenance for your site? 
  Yes
  No
  Not Sure
* Please check and include from the examples below the types of information you require in your our web site:
  Home/Introduction Page
  Service Information Page/Pages
  About you/your Company
  Product Information Page/Pages
  "Printable" Order Form Page
  "Online" Order Form Page
  Shopping Cart w/ secure server ability Pages
  "Online" Survey Form
  Guestbook
  "What's New" Page of Your Website Updates and Announcements
  "FAQ's" Page for Your Viewers
  "Online" Newsletter Page
  Tips, Hints or Useful Information Page/Pages
  Contest Page/Pages
  Links to Related Businesses Page
  Awards You've Won Page
  Contact Details Page
  Comments Form Page for viewers to send their comments to you.
  Autoresponder to answer e-mail automatically
  Other (please describe below:)
  If other selected, please describe here...
 
Will you be providing the actual "content" for your website, or will you need us to write it for you?
  Yes, I will provide all the content
  No, I need you to write it.
* What products or services does your company provide?
Please let us know the budget you have in mind for this project.
Indicate below some specific examples of web design you've seen and liked. Please list the website addresses.
What Audience do you hope to Target?
Other comments or questions:
What is your desired implementation timeframe?
  ASAP
  4 weeks
  6 weeks
  6 Month
 
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