Organization Information
Your Name:
Name of Organization:
Organization Type:
If "Other" please specify:
City:
State/Province:
Country:
Your Title:
Phone Number:
E-mail Address:
Web Site Information
What is the primary purpose of your site?:
Domain name you would like or currently own:
Please write a summary of the sections you will have in your site:
Think of this like a simple table of contents in a book. This will help determine how many pages you need and what the site map will look like.

Are there other web sites you like?
Colors, layout, navigation?






Web Site Features
EMAIL FORM
Do you need an email form for visitors to fill out? (Many sites use online forms - such as the one you're using now - for visitors to supply feedback, contact information, and/or comments. When a visitor submits/sends the form the information is emailed directly to a specified email address)
Yes
No

E-COMMERCE
Will you be accepting payment/funds through your web site? Will you be selling a product/service/donations that customers will be paying for through your web site?

Yes
No

If yes, please describe your product/service and how you would like to receive funds? (i.e.: credit card, PayPal, shopping cart, etc.)
ANIMATION (FLASH or GIF)
Will your site require any animation or flash components?
Yes
No
If so, please describe briefly:
OTHER FEATURES
Are there other features you are planning for your web site such as:

Please check any you would like:
Hit Counter
Web Poll
Forum
Guest Book
Photo Gallery
Other

Web Site Content

GRAPHICS
Will you be supplying any required photos or artwork?

Yes
No
Some

If so, will they be supplied electronically (cd, disk, or email) or hard copy (prints)? Electronically (CD, disk, or email)
Hard copy (prints

COPY (TEXT)
Will you be supplying all required text?

Yes
No
Some

If so, will it be supplied electronically (cd, disk, or email) or hard copy (fax, mail)? Electronically (CD, disk, or email)
Hard copy (prints
Web Site MARKETING

SITE OPTIMIZATION
Will you require site optimization for web site marketing?
Site optimization is simply preparing your web site to be found by search engines on the world wide web. It includes meta tag development, titles, key words and phrases, image alt tags, and submissions to search engines and directories.

(optional and priced separately from the web site design)

Yes
No

 
 
 




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