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Website
Designing Request Form
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We respect your privacy,
the information provided will not be shared with 3rd parties!
Please fill out this interactive questionnaire as
complete as possible. This will guide us in determining
your design needs and pricing parameters.
We will contact you as soon as we have prepared an estimate
for your consideration. Feel free to e-mail us at anytime
with additional information or questions as they arise.
You may choose more than one option
when applicable. |
What
is the main purpose for your Internet presence?
(*
Required ) |
General Information
Provide Company Information
Online Product Catalogue
Online Sales (Ecommerce)
Other, Please specify
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Website Concept
Will this site
be: (*
Required) |
A new website
An addition to an existing site
Remodeling an existing site
Other, Please specify
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| How many web
pages do you think you will need? (*
Required) |
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What kind
of text and images do you have available for inclusion into
your planned site, what are you planning to publish?
[Logo, photos, brochures, promotional text, publications,
etc.] (*
Required) |
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| What features
are you interested in? |
E-mail response form[s]
Online Product Catalogue
Shopping cart
Payment Gateway / Merchant Account
Database integration/publishing [please specify below]
Custom graphics
Logo design
Other features wanted:
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| What
is your time frame for completion of wesite? |
No. of Days |
| Please name
your existing domain name (if any) |
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Please list
a few (atleast 3) websites that might influence your design:
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| Please specify
your budget: |
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| Please include
any comments or questions you would like to be addressed. |
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| My
Contact Information |
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