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Online Work form

Please fill in the details below and one of our representatives will contact you concerning your proje ct. If you would prefer to contact via simple mail form Click Here .

Name:
Company Name:
Address:
State/Province:
Country:
E-mail Address:
Phone:
Background & Objectives
What does your business do?
Size of your company: Small Medium Large
What are your goals for the site? Sell Products / Services Online;
approximate number:
Marketing tool to get new customers/clients
Information resource for current customers
Provide customer service;
What type of service?
Services Required: Design new site; number of pages
Re-design current site
Promote and market site
Domain Registration & Hosting
Do you need a domain name registered? Yes No
Current Domain Name (URL):
Example:  http://www.domain.com
Do you require Website Hosting? Yes No
Additional Services Required:
Do you accept credit cards? Yes
No
We would like to accept cards
What features (functionality) or services do you want your site to have? Shopping Cart;
approximate products/services:
Site that uses information from our database.
What type of database do you have?

Opt-in Email newsletter or ezine
Collect surfer information for data gathering
Site that surfer can search internally
Surfers can download software or other files
What promotion services would you like? Optimize pages so good indexing by engines
Submit site to engines and directories
Improve link popularity
Recommend paid submission/pay-per-click programs
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?
Web Site Content & Scope
Will you write the text or will we write it? I Write It You Write It
Other information:
Additional Information
What is your design budget? up to $500
$500 to $1000
$1000 to $3000
$3000 to $5000
Or Specify:
What is your marketing budget? $500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
Or Specify:
Do you have a deadline when the site must be completed? If yes, when:
Questions or other information we may need:

Please review the information you have provided, before submission.

 

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