| Name |
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| Company Name: |
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| E-mail ID : |
* |
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| Address1: |
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| Address2: |
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| City: |
* |
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| Country: |
* |
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| State/Region/Province: |
* |
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| Zip: |
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Tel No.:
(eg. 001 - 41512345678) |
* |
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Alternate Tel No.:
(eg. 001 - 41512345678) |
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Mobile No.:
(eg. 001 - 41512345678) |
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Fax No.:
(eg. 001 - 41512345678) |
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| Website: |
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| Services interested in*: |
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Web Designing
Webhosting
Domain Name
Web Marketing
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| What domain names are already owned? |
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| List of names which need to be registered? |
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| Do you need a redesign or a new website? |
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New Website
Redesign my current web site at:
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| Do you currently have a logo which can be emailed to us in either print or disk form? |
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Yes
No |
| Do you have existing material for your product/idea in the form of brochures, pamphlets, CDs, video, flyers, etc? If yes please explain: |
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| Do you have your text content already created in print or computer generated form? |
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| Do you have a guess as to how many pages the site will include? |
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| Design Style/Tone? (Conservative, progressive, friendly, formal, casual, serious, expert, humorous, service-oriented, professional.) Message you want to convey? |
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| Do you have any existing artwork or corporate color schemes that you want incorporated into your site? |
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| Feedback/contact form? Other scripting or database-driven applications? Any specific requirement? |
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Give us a brief overview of your project to help us determine how many pages your site will be. As an example, consider the sample outline.
SAMPLE WEB SITE OUTLINE
HOME PAGE
ABOUT US/COMPANY PROFILE PAGE -Our Founder
-Company History
OUR PRODUCTS/SERVICES -Products/Services 1
-Products/Services 2
-Products/Services 3
-Products/Services 4, etc...
ORDER FORM -Ordering Options
-Payment Options
-Shipping Options
REFERENCES/TESTIMONIALS
CUSTOMER SERVICE -Request a replacement
-Look up a part number
-Request service
-Return Policy
-FAQs
CONTACT US -Address/Directions
-Digital Map
-Phone List
-E-Mail Form
-FAX Info |
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| What is the desired time frame for development of this Web site? Date of completion? When would you like development to start? |
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| Do you intend to maintain the web site yourself, or you would like to sign up for Web Site Maintenance Packages? |
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I will maintain myself
I would like to have CMS ( Content Mangaement System)
I would like to signup for a Maintenance Package.
I am not sure. |
| List website addresses that you have found that best demonstrate the type of site you would like designed for your business. These addresses can be from a related or separate entity from your business. Areas to take into account are its navigation, layout, topics to include, amount of content on a web page and site as a whole, its graphics and overall functions.*(At least one) |
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Website 1
Website 2
Website 3
Website 4
Website 5
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| Please relay any special instructions or concerns you may have here. |
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| What is your allocated budget for your web site?* |
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| How did you find us?* |
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