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Company Name |
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Contact Person |
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(required) Email Address |
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Address 1 |
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Address 2 |
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City |
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State |
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Zip |
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Telephone |
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Mobile Phone |
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Fax |
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ABOUT YOUR BUSINESS
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Project Description |
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Size of Your Company |
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What does your business do? |
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What do you hope to achieve with your web presence?
(Select all that apply) |
Attract New Customers
Promote and market site
Distribute info to a Broad Audience
Reduce Sales/Support Costs
Develop Company Intranet
Easily Manage database information |
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DOMAIN REGISTRATION AND HOSTING
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Do you need a domain name registered? |
Yes
No |
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Current Domain URL
(Only if you answered "No" to the question above) |
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Do you need hosting
set up for you? |
Yes
No |
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How many pages do you estimate your site to have? |
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Is the content for your pages ready? |
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ADDITIONAL SERVICES REQUIRED
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Do you accept credit cards? |
Yes
No
We'd like to |
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What features would you like your site to have?
(Check all that apply) |
Shopping Cart
Live Customer Support
Opt in Email Newsletter or E-Zine
Download Software or Other Files
Content Management System
Link Exchange
Photo Gallery
Classified Ads
Secured Client/Members Area
Polls/Quizes
Site Search
Forums |
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What other
services are you interested in? |
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WEBSITE LOOK AND FEEL
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List three sites you like and what you like about them. |
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What do you NOT want on your site? |
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What graphics, photos, and other art
do you need for your site? |
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ADDITIONAL INFORMATION
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What is your budget for this project? |
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Do you have a deadline for this project? |
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Questions or other information we may need? |
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What search phrases do you think your typical
visitor will use to find your website? |
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Who are your business' top three competitors? |
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