| Contact Name |
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| Company Name (if applicable) |
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| Address |
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| City |
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| State |
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| Zip |
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| Phone |
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| E-mail |
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| Best time to contact you |
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What industry is your
business?
|
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Who is your target audience
for this website? |
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Do you currently have a
website?
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If yes, what is the address?
|
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What is the desired
completion date of the
website?
|
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What is the purpose of the
website? (informational,
sales, ecommerce,
customer service, etc.)
|
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List any websites on the
internet that you particularly
like (layout, content,
features, etc. ) |
|
Which pages would you like
included on your site?
(use comment section
to detail) |
|
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Total number of pages in
website
|
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Do you have a color scheme
in mind? If yes, please detail.
|
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Do you have any font
preferences?
|
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Do you have any background
preferences? If yes, please
detail.
|
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Do you have your logo in
electronic format?
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Are you interested in having
a logo designed for your
company?
|
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Do you have the content
written for the site? |
|
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Do you have the images/
graphics you wish for the
site?
|
|
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What is the overall
impression you want to
give your visitors?
(elegant, fun, professional,
high quality
merchandise, etc.)
|
|
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Do you have a web host?
|
|
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Are you interested in learning
about web hosting and/or
domain registration service?
|
|
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Do you have a domain name
purchased already?
|
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If no, what domain name(s)
are you interested in (if
available)? |
|
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Which of our design packages
are you interested in, if any?
|
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What is your current budget
for this project?
|
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Additional comments or
information? |
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