Web Design Information

Request for pricing only
New Client
Current Client needing an additional website

The following items are not required for submission. Please keep in mind that the more information you are able to provide us, the better we can anticipate your needs.

Client
Date

Email Address

Best Phone Number

Business Name

Type of Business

Products/services offered

Target audience/describe your customer

Do you currently have a website?
Yes
If yes:
Domain Name
Current issues with your existing site.
Please describe what you like/don't like, what works well/isn't working, would like to change/no longer want to include in your new website.
The more details you can provide for us, the better we can create your desired results.

Not yet

Do you have a prefered domain name?

Have you registered a domain name(s)?
If yes, please list:

Do you need hosting setup?

What do you want to accomplish with your website?

Time Constraints -Do you have a preferred completion date?

Cost Constraints-Do you have a budget?

Are you interested in any flash animations/videos/navigation links?

Approx. Number of pages needed for complete site:

Themes, styles, colors, ideas…:

How many forms do you need on your site?

E-commerce needs:

Accept credit card payments?

Have a Paypal account?

Have a merchant account?

Services and pricing:

Photos and detailed descriptions of your products/services?

Do you need a shopping cart setup?

Do you have recurring or subscription pricing?

Please provide any details you think may be helpful or list any topics you would like additional information about.

Comments or questions:

THANK YOU FOR YOUR INQUIRY!