Design Consultation Form

Please fill in the following form as complete as possible. The more information we have regarding your new website, the better. If you come across a question that you do not have an answer for, you may skip it.

Fields marked with an * are required to submit the form.

Name:*
Company:
Address:
City:
State: Zip:
   
Daytime Phone:
Evening Phone :
Fax Number:
Email Address:*
   
   
Website Information:
   
1. Requested Domain Name (if known):
   
2. Please include a brief description of your company history and/or background:
 
   
3. Please include a list of keywords that describe your company, products & services, history, and any other information that would be used in Internet searches to help people find your site (up to 20 words or 250 characters):
 
   
4. Please include a brief description about your website for Internet searches (up to 3 sentences):
 
   

5. Please tell us about the products and services that you offer:

  • Your most important or popular products and/or services
  • Extra goods or services you offer that your competition doesn’t
 
   

6. Please tell us about the most important items of your business or products that you want to advertise on the Internet:

  • Your target audience and what you want them to see
  • Any awards or professional memberships you want your audience to know about
 
   
7. Do you want an interactive map on your website so that customers can easily get directions to your location? (If yes, please provide any additional details you would like to include).
 
   
8. Are you interested in submitting your new website to search engines and online directories on the Internet so people can find you more easily? (If yes, please provide any additional details).
 
   
   
Website Hosting Options:
   

1. How may total pages do you want to include in your entire website?

   

2. How much total space will you require for your website? MB

   

3. Will you be making changes to your website yourself? Yes No

If yes, will you be using Microsoft FrontPage to design or work
on your website yourself? Yes No
   
4. Do you want monthly summarized reports for visitors
to your website? Yes No
   
5. Are you planning on selling items on your website or collecting
sensitive information that will require data encryption? Yes No
   
6. Will you need email accounts for your domain name or
would you like email forwarding? Yes No
If yes, how many addresses would you like?
   
7. Please include any additional notes about your website that you would like us to include in the overall design or setup. Be sure to include any existing websites that you like, etc.:
 
   
   
 
 
   
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