How do you prefer to be contacted?
Phone Fax Email

What is the best time to reach you?
Morning Afternoon Evenings

How many pages you would like you web site to contain?
1-3 pages 4-7 pages 8+ pages

What's the purpose of your website?
Personal Business Non-profit

What is the main focus of your website?
Informational E-commerce Forum
Other

Who will be your targeted audience (industry)?

Do you have a particular website that inspires you when it comes to design?

What features you would like to include:
Contact management Message board Shopping Cart
Chat room

When would you like to launch?
4-6 weeks 7-12 weeks 13+ weeks

Do you have a budget you would like us to work with?
Yes No

Would you need maintenance services after the site is completed?
Yes No

Will you be providing the content or would you need someone to do so?
Content will be provided Need help with content

Will you be providing images?
Yes No

Do you have a logo?
Yes No

Are you interested in link exchanges?
Yes No

Have you selected a hosting company?
Yes No
If yes, please provide hosting company

Have you selected and purchase a domain name?
Yes No
If yes, please provide domain name

E-Commerce Only
Have you selected a merchant account, check software or an electronic payment method such as PayPal?
Yes No

How many products will you sell on this site?
1-50 items 51-100 items 101+ items

How important is compatibility of inventory with your bookkeeping system?
Extremely important Somewhat important
Not important N/A

Additional information you would like to share with us

Thank you for contacting us, we look forward to servicing you!