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Information Request Form

Don't worry about having all the answers at this preliminary stage. Just fill in what you can answer easily.   From the information gathered here, we can generally provide a rough price estimate.

First Name:  
Last Name:  
Company:  
Business Type:  
Email (required):  
URL (if you have one):
Phone:  
preferred contact: phone   email  
What prompted you to move forward with developing a web site? (check all that apply)
Unhappy with existing site
New sales channel for existing business
Starting new business
Every business needs one, keeping up with the times
Providing information (organizations, clubs, non-profits)
Other (specify)
Target completion date: yesterday!
next few weeks
within 6 months
not sure
Desired look and feel: impressive, professional
entertaining, fun
efficient and fast loading
     (no frills)
Size estimate (number of pages)
Do you know of a website similar to the one you wish to create? (If so list):
The web site I envision would include... (check all that apply):
Simple animation (GIFs)
Button rollovers, drop down menus
Flash animation
Flash with interactivity (e.g. games)
Shopping cart
Online order form
Printable order form
Automated email responses
Visitor registration
Password protected sections
Personalization (visitor recognition using cookies)
Music samples
Video clips
Slide shows
Database integration
Search capability
PDF format documents or brochures
Other 
Who will supply the following:    
Logo and other graphics Web Designer Client  
Photo images Web Designer Client  
Written content Web Designer Client  
   

 

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