WEB SITE INFORMATION
Business Type?
What is the Web Site going to be used for?
To advertise a business.
To sell products and/or services.
To provide help or community area.
To promote a cause.
What is your Target Audience?
Business people and professionals.
Women.
Men.
Children.
Students.
Anybody and Everybody.
Please enter a brief description of what you envision for your web site.

WEB SITE REQUIREMENTS
Web Site Service
Your Current Web Site Address (Leave Blank if None)
Number of Web Pages
Web Site Text Requirements
Web Site Graphic Requirements
Please Give an Example of a Similar Site (if applicable)
Web Site Functions (Please Select All that Apply)
Password Protected Pages
Guestbook Registry
Infomation Request Email Form
Community Forum
Secure Order Form
Site Search functions
Merchant Account
Product Catalog
Employment Openings
Page Counter/Site Statistics
Flash Animation
Drop Down Menu Structure
Shopping Cart functions
E-Commerce Product Numbers
None
1 - 10 Products
11 - 50 Products
51 - 100 Products
101 - 500 Products
Unlimited Products

ADDITIONAL INFORMATION
Do You Require a Hosting Package?
Yes        No
Where will the Site be Hosted?
What is Your Desired Domain Name?
Web Site Update Frequency?
Please Indicate Your Desired Development Time Frame.
What is Your Projected Budget for this Project?

CONTACT INFORMATION

Name:
Company or Organization:
Address:
Phone Number:
E-Mail Address:
Additional Information or Instructions:

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