This free service allows us to determine your requirements. There is no obligation, and we will contact you at the email address or phone number you provide below.

Please view our Package information prior to filling out the form.

A. Your Information

Name:
Company Name:
City:
Email address:
Phone Number:

B. Service(s) You Require

Web Design Site Redesign Site Maintenance
Check all that apply.

C. General Requirements

Web Site Design

What is your website's purpose?    If 'Other' please state:  
Please describe your industry
Who are your competitors (Site addresses)?
Who is your target audience?
What do you want your visitors to gain from your site?
Number of Pages Required:
Frames? Yes No Don't Know

Site Redesign

Do you own the rights to your current site? Yes No Don't know 
Do you have your current site on disk? Yes No
What elements require changes?
Images Text Navigation/Menus
Layout Other

D. Graphics & Text

Scanning Required
(Images/Logo Not on Disk):
Yes No Don't Know
Image Editing Required
(Resizing, Effects):
Yes No Don't Know
Text Editing Required
(>200 Words):
Yes No Don't Know
Number of Graphics Required:
Custom Graphics Required
(Flash, Animated Gifs, Custom Design Not on Disk):
Yes No Don't Know
For Custom Graphics, Please Describe If Known:

E. Domain & Hosting Requirements

We do not provide hosting or registration services but we'll help you get your site on the Internet. See Considerations on our web design page. There is no charge for this service.
Internet Service Provider Required: Yes No
Domain Name Required: Yes No
Web Site Host Required: Free Host (with ads or your ISP)
Hosted with my domain
I Have a Host:  


That's it! You've finished the questions, now choose "Submit Form" to send us your answers.


  


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