Plan: Basic
Premium
Deluxe
Existing Update
Support
Contact Information (* = Required Field)
* Your Name:
Company:
* Phone Number: (xxx-xxx-xxxx)
* e-Mail Address: (handle@xxx.com)
Website address (if any):
Project Information
Please select your business type
1-2 person home-based business
Small business
Mid-sized business
Large Business
Non-profit organization
Entertainment
What is the natue of this project?
Brand new web site
Web site makeover
Additional to an existing web site
Sports support web site
Web site support plan
What is the purpose of this project?
Enhance an existing business with an online presence
Build a business that will primarily be conducted online
Sell products online (e-Commerce)
Sell services online (e-Commerce)
Provide a free service
Provide information
Build an online community
Advertising/Publicity
Personal Resume
Other (please specify):
Other:
What will you be providing to your web designer? (Please check all that apply)
Copy/Text
Logo
Images/Graphics
Site Map
None of the above
All of the above
Other
About how many pages would you say you'll need?
1-5
6-10
11-20
21-30
More than 31
What services/features are you interested in? (Please check all that apply)
Domain name registration (.com, .net, .org, etc)
Web hosting
Site maintenance
Logo design
Flash intro
Flash navigation
Flash accent(s) within the site
Banner ad(s)
e-Commerce shopping cart
Custom database
Search tool
Search engine optimization & submission
Top 10 Google ranking
Other, please specify
Color Scheme
Please describe the color scheme you'd like for your website.
Feel free to include links to other websites for color examples.
Help us realize your vision
Please list 5 words you'd use to describe the atmosphere/
emotional tone you'd like the website to have.
Project Description
Please describe the goal(s) and intent of your project here, in as much detail as possible. Include any requirements not already specified, as well as any other details that will help us determine your exact web design needs.
What is your estimated budget for this project?
under $500
$500 - $999
$1,000 - $1,499
$1,500 - $1,999
$2,000 - $2,999
$3,000 - $3,999
$4,000 - $4,999
$5,000+
When would you like for this project to be completed?
I need this website yesterday!
Within a week
Within 2 weeks
Within a month
Within 2 months
By this exact date (please specify):
Date:
Example Websites
Please list a few websites that represent the kind
of "look and feel" you'd like for your website to have.