Thank you!

 

	Website Information
1.	Are you creating a new web site or are you upgrading a current one?  *required
	This is a new website Upgrading an existing website /Overhaul Current URL of existing website
2.	What type of website do you need?  *required
	Business to Business (B2B)  Informational/Brochure Business to Consumer (B2C) Intranet  Community Site Other
3.	How many pages will you need?  *required
	Not sure 1 - 5 5 - 10 10 - 25 25 - 50 50 - 100 More Than 100
4.	How many products or services will be offered on your site?  *required
	None 1 - 10  11 - 25 26 - 50  51 - 99 100 - 200 201 - 500 501 - 1000
5.	Which of these features are needed on your site?  *required
	E-mail Interactive Features (Bulletin Board, Forms, Blog, etc...) Animation/Flash Credit Card Processing Shopping Cart Search Capabilities Streaming Audio/Visual Advanced Database Features Encryption Secure Pages Not Sure
6.	Which of these additional services will you need?
	Domain Name Registration Website Hosting Website Maintenance None
7.	When would you like the project started?  *required
	As Soon As Possible Within 2 weeks  Within 1 month Within 2 months  Within 3 months    I'm Flexible
8.	What is your budget for web design services?  *required
	(Please be aware that most websites cost $2000 or more to design and build.) $ 500 - $1500  $1500 - $3,000  $3,000 - $6,000  $6,000 - $10,000 $10,000 - $30,000
9.	Please provide a few website URLs that have some of the features you are trying to convey, or would like to "model" after.  OR, if you don't know of any, who are your competitor's? What are their websites?
10.	Details. Please give us any specific information on your project needs. The more information we receive from you, the easier it is for us to effectively quote your project.:  *required
	Your Contact Information
11.	I would like to receive contact at this email address: *required
12.	Company Name:
13.	Job Title:
	-- Select One -- President/CEO Owner Vice President - Sales Vice President - Marketing Director Manager Sales Marketing Customer Service Representative Administrative Asst/Secretary
14.	First Name: *required	Last Name: *required
15.	Phone Number: *required	Cell Phone:	Best Time: *required
	()	()	-- Select One -- Morning Afternoon Evening Weekend No Preference
	Related Services
16.	Please select any other services that you need help with:
	Credit Card Processing Logo Design Search Engine Optimization Graphic Design Web Hosting Corporate Identity Training, Website Other