Your Name:

Your E-Mail Address:

Phone#

New website or Redesign/Promotion of an existing one?
New Redesign/Promotion

If this is a Redesign and/or Site Promotion, are you currently ranked on any search engine or directory now?
No  Yes

What would you consider the primary goals of your new site? 
Example: Store Front, Sales & Marketing Tool etc.


If this is for a NEW website design, will you want your own "specific" domain name?
(example: www.yourcompany.com)
Yes No

Do you have your "Domain Name" registered already?
Yes No

Will you desire our Web Hosting Service and Exclusive "WEB SITE STATS?"
Yes No

What type of "Image" would you like your website to convey? 
Please select one:
TextOnly/NoGraphicsColorful/BrightCorporate/ProfessionalNeo/ClassicConservativeWarm/FriendlyHigh/TechVictorianFor Children/FamilyPastel/Soft

Please select an amount that describes what your "budget" might be for the production and promotion of your site.
Less than $1000$1000-$1500$1500-$2000$2000-$2500$2500-$5000$5000-$10,000More than $10,000

Please mention any design elements that you might have in regard to your site design and appearance such as color preferences, other web sites that you like etc.

Who is your primary audience or market? 
(Example: surrounding county, local city, state, national or international, or special interest groups)

Will you have your required photos and/or text on disk?
Yes No

What "keywords" would describe your website? (list up to 20)

Will you need a logo design?
Yes No

Will you need us to "update" your website periodically?
Yes No

If yes, will you need the updates:
Daily Weekly Monthly

Please tell us the screen resolution of your monitor,
(example: 640 x 480, 800 x 600 or 1024 x 780) 
and which browser program you use, 
(example: Netscape, Microsoft Internet Explorer etc).

Final comments: