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Name:
(required)
Email:
(valid email required)
Phone:
City and State:
Pages:
Approximately how many pages will you need for your website? (Do not include catalog pages). The more pages you have, the more professional your site will appear and the better you will do with Search Engine results. Please Choose:
0-5
6-10
11+
Products:
If you will be selling products online, please enter the approximate number of items you will be selling on your website.
Website Features:
Select all the features you would lke to include on your website:
Shopping Cart/E-Payment
Newsletter
Image Gallery(s)
Blog
Flash Elements (Active Graphics)
Logo Design
Product Catalog
Database(s)
Video(s)
Discussion Forum
Online Form(s)
Video Editing (Prior to publishing)
Marketing Content:
Will you need help writing text copy for the website?
No - I will provide all text for the website.
Yes - I need help creating text copy for the website.
Maybe - I would like input for what sections/pages my website should include.
Timeline:
When would you like to get started?
Immediately
Within two weeks
2-4 weeks
Not sure
Current Website:
If you currently have a website, please provide the domain name (www.yoursite.com).
Example Websites:
If you know of any websites that have a similar look and/or functionality to what you envision for your website, list the domain names here.
Competitor Websites:
You can list your biggest competitors’ websites here.
Purpose of Website:
Please describe what your website will be used for.
Name Your Price:
How much will you invest in your website?
Is your budget flexible?
Working Together:
We work with individuals and businesses all over the country, and we like to make sure our clients are at ease and understand the website development process before we get started.
See how it works – click here.
Acknowledgement:
You understand how the process works. (Please Select)
How would you like to be contacted?
E-Mail
Phone
Either