May We Contact You?
What contact method do you prefer?
E-mail Phone Either

Your E-mail address - Required
 

1) Are you needing a redesign or a new Web site?

Redesign, current site: 
New web site

2) What audience(s) are you targeting? Who will be looking for your site?

3) What is the purpose of your site? Please check all that apply.

Bring in New Clients/Customers
E-Commerce
Educational, Training or Instructional
Extend Marketing Reach
Informative
Starting Internet Presence
Other, Please Explain:

Your Business

1) What is the nature of your business? How long have you been in business?

 

2) Do you currently market this business/idea/product?

3) Do you have a logo? Do you need a logo? Logo redesign?

4) Do you have existing material for your company, product/idea in the form of brochures, pamphlets, CDs, video, flyers, etc? If yes please explain:

Time and Budget

1) What is the desired time frame for development of this Web site? Date of completion? When would you like development to start?

E-commerce

1) Are you going to be selling services or goods from your site?

Yes  No

Search Engines

1) Do you want your site optimized for the Search Engines? This will help in the search engines like Google, Yahoo, MSN etc. to find you quicker and add you to their index.

Yes  No

Look and Feel

1) Do you have any existing artwork or corporate color schemes? If so are they in digital format or will the need to be scanned?

2) Are there any Web sites you'd like us to follow or any Web sites that you like?

Layout - What pages and features do you need?

1) After we create website, do you intend to maintain the web site yourself?

Yes  No

2) Give us a brief overview of your project to help us determine how many pages your site will be. As an example, consider the following outline:

1. HOME PAGE
2. COMPANY PROFILE
Our Founder
Company History
3.OUR PRODUCTS
Product 1
Product 2
Product 3
4.ORDER FORM
5. CUSTOMER SERVICE
Request a replacement
Look up a part number
Request service
6. CONTACT US
Phone List
E-Mail Form
FAX Info
7. HELPFUL LINKS

In the example above there are 19 pages (7 main pages with 12 sub pages) for the project. It is very helpful if you are able to provide an outline similar to this. When you're done fax to 1-662-796-0587 or e-mail your outline to henry_ashley@bellsouth.net.

Additional Features you would like on your website. Please select all that apply.

Animation
Chat Room
Counter/Traffic Meter
Files for Download
Flash Development
Forms
Guestbook
Shopping Cart
Video/Audio Streaming
Other

Domain-Hosting-URL

1) Do you have a domain registered? If so, what is it and how long has it been online?:
Domain Name

If not, do you need us to register one for you?
Yes   No

What domain name have you chosen?

2) Do you need Web hosting?

Yes   No

Contact Information:

Name

Company Name

Address

City, State, Zip

Phone

Thank you for taking the time to complete this form. With this information we will be able to move forward quickly. Please allow 24 hours for a response.