| Your Name |
|
| Your Email |
|
| Your Company Name |
|
| Address: |
|
| Telephone: |
|
| Type of Business |
|
| Do you need a new site or a redesign
of the existing site?
|
|
| If this is a redesign, please include
the URL of your current
site |
|
| How many pages do you want your site
to include (approximately)?
|
|
| Do you need a logo? |
|
| Would you like Flash animation on
your site? |
|
| Do you have texts (content) for your
website? |
|
| Would you like us to host your website? |
|
| Would you like us to promote your
site afterwards? |
|
| What's the budget for your website
project? |
|
| Will you need
website maintenance (changes/updates
made on a regular basis)? |
|
| Which of the following elements would
you like to be included?
(Check all that apply) |
Visitor response form
Shopping cart
Integration with a payment
system
Merchant account
Guestbook
Discussion board
Database
Password-protected area |
| Please give the details about the
type of the website you'd
like designed |
|
|
|
