Name Organization/Business

Phone Number Email City State

SITE AND DOMAIN NAME
Do you have a domain name reserved? --- Yes No If not, do you want us to assist you with establishing your domain? N/A Yes No

Domain Name(s):

Do you have hosting? Yes No If not, do you want us to assist you with securing a hosting plan? N/A Yes No

SITE STRUCTURE
This is a: New Site Site Redesign

Give a brief description of your vision for your site.

Will this site be a completely flash site? No Yes

Do you require any of the following elements: Video clips Audio clips Database

What is your target audience?

What colors would you like for your site?

List (5) websites that you like and why:

1.
2.
3.
4.
5.

GRAPHIC AND TEXT
Do you have a logo? --- Yes No If not, do you want us to design one for you? N/A Yes No

Will you be providing us with the graphics for your page? --- Yes No

Will your site require photos? --- Yes No Scanned Digital Camera Stock Photos

If Yes, do you want us to handle the digital photography? N/A Yes No

Will you be providing the text for your site? --- Yes No

How many pages will your site require? 1-3 4-6 7-10 10+

FORMS
Will your site require any forms to be filled out on line or downloaded? --- Yes No

If so, what type? Request For Information Order Form Registration Form

E-Commerence
Will your site requiring a shopping cart function? --- Yes No

Are you: Selling Goods Providing a service Other

Explaination of E-Commerence functionality required

Will you be collecting credit card information over the Internet that will require Secure Services? --- Yes No

MAINTENANCE AND UPDATES
What type of updates will your site require? (select none if you will not require updates)

Daily
Monthly
Advertisements
Promotions
Upcoming Events