Your Full Name: *
Company Name (if applicable)*
E-mail:*
Phone Number *
Launch date (e.g. 08/05/2008)
Is your launch date fixed or flexible? Fixed Flexible
What type of Web site design services are you looking for? E-commerce related services Design of an entirely new Web site Complete or partial redesign of an existing Web site Maintenance or upgrade to an existing site Other, contact me.
What is your total estimated budget for this website design project? £500 - £999 £1000 - £1499 £1500 - £2499 £2500 - £4999 Over £5000 Other. Please, contact me.
Describe briefly your dream website. (e.g. Number of columns, color...)
What is the primary purpose of the site? (e.g. To make a sell, to make an inquiry, to show your portfolio...)
How many pages are required? Could you list them all? e.g. Home, About, Portfolio, Contact...
What features do you want on your website?
E-commerce (Shopping Cart)
Member Registration and administration
Content Management System (CMS)
Weblog (Blog)
Image Gallery
Polls
User Forum
Detailed Statistic
Search Functionality
Newsletter Management
Event Calendar
None
Other, contact me.
If E-commerce, how many products will you sell? Less than 50 products 50 to 100 products More than 100 products Don't know yet
Will you be providing any of the following content or materials?
No - We need help with every aspect of our site
No - But you can use existing Brochures/Literatures to write the content
Yes - We will provide copy/text for our site
Yes - We will provide images/graphics
Yes - We will provide the Logo of our company
Yes - We will provide video/music
Yes - We will provide other kind of media/files
Not Applicable
Other - Please, contact me
URL of Web sites you like e.g. http://site.com
Additional Comments
If you are looking to upgrade or redesign your current Web site, please indicate the URL:
Domain Information Need to Register a Domain Already have a domain Don't know, contact me Not Appicable
Website Hosting Information Need help me to find a host Already have a Host Don't know, contact me Not Applicable
You're almost done! If you have answered all of the required questions above, click the "Submit" button below to finish and send your request.
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