Full Name:
Title:
Company Name:
City:
State/Province:
Country (if outside USA):
E-mail Address:
Phone:
Background & Objectives:
What does your business do?
Brief description of desired quote:
Size of your company:
Small Medium Large
What are your goals for the site?
Sell products Sell services Informational site
Approximate number of products or services:
What type of service?
Services Required:
Design new site Re-design current site
Tell us the number of pages:
1-5 pages 6-10 pages 11-15 pages 16-20 pages 20 or more pages
Do you need a domain name registered?
Yes No
Current Domain Name (URL): ex http://www.domain.com
Do you want hosting set up for you?
Yes No
Additional Services Required:
Do you accept credit cards?
Yes No
We would like to accept cards:
Yes No
What features (functionality) or services do you want your site to have?
Shopping Cart
Site that uses information from our database.
Opt-in Email newsletter or ezine
Collect surfer information for data gathering
Site that surfer can search internally
Surfers can download software or other files
What type of database do you have?
Do you need a database?
Yes No
What promotion services would you like?
Optimize pages so good indexing by engines?
Submit site to engines and directories?
Improve link popularity?
Us to recommend paid submission/pay-per-click programs?
What other marketing services would you like?
Web Site Look & Feel:
Yes No
What other sites do you like that are similar to the type of design you want?
What do you like about them?
What don't you like about them?
What do you NOT want on your site?
What graphics, photos and other art do you have?
What graphics, photos and other art do you need designed?
Web Site Content & Scope:
Will you write the text or will we write it?
I will
You will
Other information:
Additional Information:
What is your design budget?
$100 - $200
$200 - $300
$300 - $400
$400 - $500
$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify: What is your marketing budget?
$100 - $200
$200 - $300
$300 - $400
$400 - $500
$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify: Do you have a deadline when the site must be completed?
Yes No
If yes, when?
We tried to include every possible scenerio in this form to help you get your site done as quickly as possible. But of course, if we missed asking you anything we will be sure to go over that with you as we complete the site. Maybe you will have changes that you would like to make as it is being built. No problem we will work it all out for you. And thank you for taking the time to fill this quote request out.