| * Your Name: |
|
| Name of your business: |
|
| * Your contact E-Mail Address: |
|
| Confirm E-mail Address: |
|
| Your Business Phone: |
|
| Your Home Phone: |
|
| Nature of your business: |
|
Domain name(s) you
own (if applicable): |
|
Projected Budget for Project:
(Note: this is not required, but providing this information will help me provide you with a targeted, accurate estimate.) |
|
URL for the host with which
you have registered (if applicable): |
|
Please list the URLs for a few
of your competitor's websites: |
|
Please list a few URLs for
websites whose designs you admire: |
|
Do you have images/photographs
that you would like to include on
your Website? If so, please describe them. |
|
| Do you require e-commerce? |
yes
no |
| Do you have a company logo? |
yes
no |
| Will your website connect to a database? |
yes
no |
Please describe any special features you
would like your Website to have: |
|
| |
|
| Additional comments/questions: |
|
| How did you find out about us?: |
|
|
* indicates required field. |
