Job Information
Name: *
Company Name:
Contact Number: *
Address: *
Email: *
Projected Start Date: *
What industry is this website for? *
Describe your company (what you sell, services offered, etc.): *
What best describes the nature of this project? *
-
Totally New Site
Updates/Additions to Existing Site
Redesign or Facelift to Existing Site
Add Enhancements or Features
If you already have a web site, what is the URL?
What is your projected budget for this project? *
(
Note:
New Sites Start at $2000)
-
Less than $1000
$1000-$2500
$2500-$5000
$7500-$10000
$10000-$15000
$15000-$20000
$20000-$25000
$25000 & Up
What is the approximate number of pages for the site? *
-
1
2-5
5-10
10-15
15-20
20-25
25-30
30-40
40-50
50+
Please list the general pages: *
(Some recommended pages:
Home/About, Products/Services, Portfolio/Gallery, Contact, Site Map)
Do you need to purchase a domain name? *
-
No
Yes
Do you need website hosting? *
-
No
Yes
Do you need a logo? *
-
No
Yes
Do you need a shopping cart for selling products/services? *
-
No
Yes
Do you need a photo gallery? *
-
No
Yes
Do you need a CMS (Content Management System) for easy updating? *
-
No
Yes
Do you need a Blog to keep people informed? *
-
No
Yes
Do you need any forms for collecting information? (ie. Contact form etc)
-
No
Yes
Details about forms:
Would you say that the look/graphics, or the function/interaction is more important?
-
Look
Function
On a scale of 1-5 (5 being the most) how important is the graphic intensity of the site?
-
1
2
3
4
5
What word best describes the look/feel of the site?
-
Antique
Contemporary
Corporate Web 2.0
Elegant
Fantasy
Futuristic/Tech
Gothic
Kids
Racing/Sports
Additional notes:
Digital Signature (First and Last Name): *
Dated:
Submit
Thank you
for your submission.