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CONTACT INFORMATION
*First Name: *Address *Email Address:
 
*City: Country:
 
*Daytime Phone: *Evening Phone:
 
             
PRINT DESIGN PROJECT INFORMATION
Type of Print Design Needed
What type of web service are you looking to purchase?		   Web Site Examples
List the websites that you like. [eg. http://www.pmxlk.com]
New Web Design
Upgrade Existing Web Site Design
Update My Existing Website
Maintain My Existing Website
 
URL 1: http://
URL 2: http://
URL 3: http://
 
 
Logo
Does your company have a Logo?		 Design Style
What style are you looking for?
Yes
No, but would like one
Don't Need one
Don't Know
Contemporary
Artistic
Business Oriented
Futuristic
Other
 
     
Number of Static Pages for your Website Design Project
Static pages are considered to be web pages that need to be edited individually. If you are looking for users to be able to interact with your site or would like to have a database driven website, please select this option further down the form.
Don't Know
0 Pages (Just need functionality)
1-10 Web Pages
10-20 Web Pages
20-50 Web Pages
50-100 Web Pages
100+ Web Pages
   
     
Website Animation
Do you want your site animated?		 Website Maintenance
How would you like your website updated?
Don't Know
Just a Little Animation
An Animated Introduction
Complete Animated Website
 
I would like to maintain the website myself
I would like a content management system
I would like for another company maintain it
   
Additional Functionality (check all that apply)
What else would you like your website to do for you?		   Do you currently accept credit cards?
Sell Products or Services through a shopping cart
Provide a Membership System
Sell Classified Ads
Allow people to communicate through a forum on your site
Provide an online directory with search capabilities
Provide online customer support
Other
 
No
Yes
Would like to
   
Search Engine Services
What search engine services would you like?		   Website Hosting
Do you need website hosting?
None
Submission to Major Search Engines
Search Engine Optimization & Submission to Major Search Engines
 
No
Yes
   
What is your budget per month for hosting?  
Not Applicable
Under $5 per month
$5 - $10 per month
$10 - $15 per month
$15 - $20 per month
$20 - $50 per month
$50 + per month
 
   
*Detailed Design Project Description
Please describe, in great detail, how the website will be used. Also, please list the overall function of your organization, eg. the products that you sell, the services you provide. This will help gear your banner to your business.
           
ADDITIONAL INFORMATION
           
Requested Start Date
When would you like the project to start?
ASAP
In two weeks
In one month
In two months
   
 
 
 
         
     
   
 
 
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