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E-Mail
Address:
Web Address (URL):
Phone
Number:
Best Time To Call:
Fax Number:
Where did
you hear about us?
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Search Engines
Word of mouth
Banner Ads
Links
Others
What will be the main focus(es) of your
site?
Information
E-Commerce
Audio/Video Interaction
Can you provide URLs for your online
competitors?
Can you provide URLs for existing Web
sites that are similar to how you would like your
site to look?
Can you provide URLs for existing Web
sites that are similar to how you would like your
site to function?
Please use the following comment field
to explain how you would like your site to function
and how you would like it to look:
What is your timeline for development?
What is your development budget?
Do
you have a company logo?
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No
Do
you have recent graphics, advertising and print
materials available?
Yes, we would like the site's look to be consistent
with our materials.
Yes, but we would like a new look for the site.
No
Have you prepared all text content for
the Web site?
Yes
No
Please also mention any needs your company
has for its Web presence that have not been addressed: