Name..........................................
Email..........................................
Company.....................................
Address......................................
City...........................................
State/Zip.....................................
Phone........................................
Fax...........................................
Site Design Information
What is the Primary goal of your web
site? ...........................................
When do you anticipate needing your
site on-line?........................................
What is your web site development budget?.......................................
$0 - $500
$500 - $1,000
$1,000 - $1,500
$1,500 - $2,000
$2,000 - $5,000
$5,000 - $10,000
More than $10,000
Approximately how many pages do you
think you will need with your site?........
Do you anticipate needing a shopping
cart? ..........................................
Will you need to accept credit card
payments online?............................
Do you need dynamic / interactive material
with your site (e.g., Discussion Board, surveys, polls,
chat, etc.)..................
Do you require portions of your site
be designed in Macromedia FLASH?...........