Name:
Title:
Company Name:
City:
State/Province:
Country (if outside
USA):
E-mail
Address:
Phone:
Background
& Objectives:
What does
your business do?
Size of your company:
What are
your goals for the site?
Services
Required:
Domain
Registration & Hosting:
Do you need a domain
name registered?
Current Domain Name
(URL):
Do you want hosting
set up for you?
Additional
Services Required:
Do you accept credit
cards?
What features
(functionality) or services
do you want your site
to have?
What promotion
services would you like?
What other
marketing services would
you like?
Web
Site Look & Feel:
What other
sites do you like that
are similar to the type
of design you want?
What do
you like about them?
What do
you NOT want on your
site?
What graphics,
photos and other art
do you have?
What graphics, photos
and other art do you
need designed?
Other information:
Additional
Information:
Do you have a deadline
when the site must be
completed?
If yes, when:
Questions
or other information
we may need:
Thank
You
