Please fill out this form to receive a free estimate within
2 business days. Please provide as much detail as possible so your estimate can be more
accurate.
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| Company name: |
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| Contact name: |
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| Address: |
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| City, State & Zip: |
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| Phone: |
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| Fax: |
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| E-mail: |
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| URL: (if web redesign) |
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| Please select one that best describes you: |
Window shopping: Not yet sure I need a website
Evaluating feasibility: Need a website but I'm not sure what it takes
Actively looking: Ready to hire someone and begin the process
Need a website ASAP: Must get started immediately
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| Check any that you want or need: |
Register a domain name (yourcompany.com)
Obtain internet access
Host your website
Create graphics for website
User registration (password security)
Information collection forms forms
Site traffic statistics
Message boards
Chat rooms
Personalization of user experience
Audio/Video
Multi-lingual website
Email addresses (name@yourcompany.com)
Advertising banners
Online ordering products
Real-time credit card transactions
Secure pages
Database integration
Remote administration (self-maintenance)
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| Please select the "look-and-feel" for the website: |
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Simple
Graphic-intensive
Flashy, jazzy, edgy
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| Approximate number of pages to be created: |
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5
10
20
30
40
Other
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| Who will update and maintain your website: |
Will be done in-house by company staff
Will require web design company to maintain site
Not sure
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| Goals for website: |
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| Time frame: |
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| Budget plan: |
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| Heard about us: |
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| Describe industry: |
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| List competitors: |
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Desired addresses:
(yourbusiness.com) |
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| What are your products or services: |
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| What type of visitors would you like to draw to the site: |
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| Describe any preparations that have already been made for the web site: |
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| Describe any specific logos, artwork, fonts, etc. that you would like used: |
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List any desired characteristics for the web site
(color, user interface, page layout, navigation, size of site, etc.): |
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| List main areas of the website (services, about us, links, etc.): |
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How much site maintenance will be required and how often
(when will page content change and what will change): |
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| Describe the long-term plans for the web site: |
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| Additional comments: |
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| Send Analysis via: |
E-mail
Fax
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