Web design and site management

New Site Info

Contact Information

E-mail:

RequiredInvalid format.

Company:

Contact: A value is required.

Address:

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City: A value is required.

ST: A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

Zip: A value is required.Invalid format.

Phone: A value is required.Invalid format.

Cell: Invalid format.

Fax: Invalid format.

Alt Contact:

Alt Phone: Invalid format.

What is the best time of day to contact you?

A value is required.

How do you prefer to be contacted?

Phone	E-mail
Cell Phone
Fax	US Mail

User Information

What Browsers do you use?

Internet Explorer

Version:

Safari

Version:

FireFox

Version:

Other Browser
and Version:

What size monitor do you use?

Please select an item.

What screen resolution do you use?

Please select an item.

Do you access the Internet with other devices?

Yes

Please list Devices:
(iPhone, Palm Pre, etc.)

What media player do you use?

QuickTime

RealPlayer

Windows Media

Other

Name:

My default Media Player is:

Please select an item.

What email program(s) do you use?

Please list them here:
A value is required.
Example: Outlook, Outlook Express, Entourage. Also list the version you are using.

Web Site Information

Do you have a domain name?

List Domain Names:

Yes

Do You have a Hosting Company?

Yes

If yes, please provide the following information:

Host Name:

UserName:

Account Name/No.:

Password:

Scope of Work

If you have an existing Web site please provide the Web address (URL):

Active Web site(s):

What is the scope of work for your Web site?

Replace Repair Manage Other

Please explain:

Do you plan to have more than one Web site?
If so, can they hosted on the same Web server?

Please explain:

Note: Most hosting packages offer multiple Web sites on one server. This can save some money over time. However If you need to keep the businesses separate additional hosting packages may be required.

What are your Web site requirements?

Please check all that apply:

Informational Site	Shopping Cart	Dynamic Database
Photo Gallery	Members Only Section	Club Site
Scheduling	Event Calendar	Blog

Comments:

Business Background

What is the mission or purpose of the organization?

What are the short-term and long-term goals of the Web site?

Who is the intended audience?

Why will people come to your site?

Are you selling a product?
Do you have a unique service?
Why will people come to the site the very first time?
Will they come back?

Please explain:

Web Site Layout

Do you have a logo?

Yes

Do you have a color scheme preference?

Description:

What type of menu layout do you prefer?

Horizontal Vertical Tree (Vertical) Tab No Preferance

Note: Click here to see some standard menu navigation samples. If you see one you like please provide the sample number here. You may combine the different looks and to customize your site. Any sample can be changed to meet your color scheme and font requirements.

Comments:

What sites do you want linked to your site?

Please list Web links:

Do you have permission to use data from your existing site?
If so, is it in writing?

Please explain:

Are there any restrictions for using the data?

Please explain:

General Comments:

Note: Before sending the information please scroll back to the top to see if you have filled in all the required information.

If you do not advance to a confirmation page after clicking on the [Send Info] button then please go back to the top and check for missing or incorrect data.