Contact Info
Contact Name:*
Business Name:
Email Address:*
Phone Number:
Fax Number:
Your Company
Please give us a description of your corporation/industry:
Is there a group of people who will be working on this project? (Examples: marketing department, human resources, etc). If so, please list contact names.
What are your schedule requirements (how soon will you need the site)?
What is your acceptable budget range?
Please list any identity/branding assets (logos, fonts, company motto, etc).
Describe any work or preparation that has already been done toward the design or implementation of a new website (text, graphics, ideas, layout).
Describe your client base.
Who are your competitors? Please list their website URLs, if possible.
Name: URL:
Name: URL:
Name: URL:
Name: URL:
Name: URL:
Are there any specific products or services you'd like to provide over the internet?
Are there any specific types of visitors you'd like to attract (e.g. women, golfers, etc.)?
Your Content:
Who is responsible for developing the content for your site?
How often will you add or update content (e.g. time-limited sales, employee lists, etc)?
Do you have an idea of how you would like your site to look? Please describe in as much detail as possible (colors/theme, fonts, frames, etc).
Have you already created a site plan, or 'map', to show us how you would like it organized?
Yes No
Do you have pictures or artwork that you will need scanned for web use? If yes, how many pictures or graphics?
Will you need us to create customized graphics? If yes, please describe, using as much detail as possible.
How many pages are you estimating for your site?
1-5 6-10 11-15 16-20 20+
Site Functionality
What functional requirements will you need? Please check all that apply:
download area
database
e-commerce capability
product catalogue
forms (feedback, quotations, etc)
mailing lists
communications center (message board)
SSL certificate
Both frames and non-frames versions of the site
Other - please describe below:
Are there any security issues?
Are there any technical issues or limitations?
Maintenance and Hosting
Have you budgeted for monthly hosting and maintenance costs?
Yes No
Would you be interested in having us host your site?
Yes No
Have you already registered a domain name?
Yes No
If not, would you like us to register your domain name on your behalf?
Yes No
If you would like us to register your domain name, please list all domain names that you think might apply to your company (example - 'ABC Company' could use 'abcco.com', or abccompany.com', or 'abc-company.com', etc). Please list as many names as possible, since several of your choices may already be taken.
How long would you like us to register the domain name for (in years)? Please note that there will be a charge for the initial registration; the domain name must also be renewed periodically.
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
Miscellaneous
Please list a few URLs of sites that you like :
URL:
What do you like about this site:
URL:
What do you like about this site:
URL:
What do you like about this site:
URL:
What do you like about this site:
URL:
What do you like about this site:
Please list a few URLs of sites that you dislike :
URL:
What you dislike about this site:
URL:
What you dislike about this site:
URL:
What you dislike about this site:
URL:
What you dislike about this site:
URL:
What you dislike about this site:
Please list any additional comments or questions.
How would you prefer to be contacted with your quote? (Note: If you choose phone or fax, please ensure that you have the correct numbers listed at the beginning of this form. If no option is chosen, the quote will be sent by email).
Phone Fax Email
If you prefer to be contacted by phone, what is the best time for us to call (example - Thursday between noon and four, any weekday morning, weekends only)?