Web Design Request Form
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Please fill out the following form. It will help us in planning a proper response when we contact you. Don't worry, we'll help you decide what to do if you're not sure. This is just a survey to let us know approximately what ideas you have. | |
| Your Complete Name | |
| Company | |
| Phone | |
| When is a good time to reach you by phone? | Day Nights EST CT MT PT |
| Are you the main contact for the project? | yes no |
| Will you or someone else be required to update/modify site? | yes no |
| Do you have an existing web site? | yes no If yes, enter URL: |
| Do you have theme in mind? | yes no |
| How many pages do you estimate the site to be? | |
| How many major sections will the site have? And what are they? | |
| Do you have or will you provide some artwork? | yes no |
| Do you want us to guide or help you with getting your site on Search Engines? | yes no |
| What kind of site is this? | |
| Do you have a schedule to complete this project? If yes, explain. | |
| Do you require a database? | yes no |
| Additional Comments (Please add any additional information about your web site needs) |
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| How did you here about us? | |
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