| Contact
Information: |
| Your Name: |
|
| Your Title: |
|
| Company Name: |
|
| City: |
|
| State: |
|
| Country (if outside
USA): |
|
| E-mail Address: |
|
| Phone: |
|
| Business
Background & Objectives: |
| What does
your business do? |
|
| Size of your company: |
Small
Medium
Large |
| What are
your goals for your site? |
Sell products/services
online;
approximate number:
Marketing tool to get
new customers/clients
Information resource for
current customers
Provide customer service;
What type of service?
|
| Services
Required: |
Design new site; estimated
number of pages
Re-design current site
Promote and market site |
| Domain
Registration & Hosting: |
| Do you need a domain
name registered? |
Yes
No |
| Current Domain Name
(URL): |
example: http://www.domain.com |
| Would you like information
on Hosting? |
Yes
No |
| Additional
Services Required: |
| Do you currently accept
credit cards? |
Yes
No
We would like to accept
cards |
| What features
(functionality) or services
do you want your site
to have? |
Shopping Cart;
approximate
products/services:
Site that uses information
from a database.
What
type of database do you
have?
Opt-in Email newsletter
or e-zine
Collect visitor information
for data gathering
Site that visitor can
search internally
Visitors can download
software or other files |
| What promotion
services would you like? |
Optimize pages for indexing
by Search Engines
Submit site to engines
and directories
Improve link popularity
Managed paid submission/pay-per-click
programs |
| What other
marketing services would
you like? |
|
What other
Design Services would
you like?
Ex: Logo Design, Business
Cards, Catalog, Brochures,
Direct Mail, Product,
etc... |
|
| Web
Site Look & Feel: |
Please list
some sites whose design
or functionality you like.
Ex: http://www.site.com |
|
| What do you
like about them? |
|
What do you
NOT want on your site?
Include any example sites.
Ex: http://www.nosite.com |
|
| What graphics,
photos and other art do
you currently have that
will be used on the site? |
|
| What graphics,
photos and other art do
you need designed for
the site? |
|
| Website
Content & Scope: |
| Will you
write the text or will
we write it? |
I Write It
You Write It |
| Other information
about your goals for your
site and its content: |
|
| Additional
Information: |
What is your
design budget?
This will help us determine
the best solution for
you. |
$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 per Month? |
$50 to $100
$100 to $300
$300 to $500
$500 to $1,000
$1,000 to $2,000
Greater than $2,000
Or Specify:
|
| Do you have a deadline
when the site must be
completed? |
If yes, when:
|
| Questions
or other information we
may need: |
|
| |
I would like to join the
FM Web Tips Newsletter. |
|
| |
|
| Thank
You |
